Provider Demographics
NPI:1326653734
Name:KIM, JULIE DULI (RD)
Entity Type:Individual
Prefix:MS
First Name:JULIE
Middle Name:DULI
Last Name:KIM
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4220 S TRENTON ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98118-4921
Mailing Address - Country:US
Mailing Address - Phone:808-206-1719
Mailing Address - Fax:
Practice Address - Street 1:4220 S TRENTON ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98118-4921
Practice Address - Country:US
Practice Address - Phone:808-206-1719
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-11
Last Update Date:2020-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered