Doctor Name: | MS. JESSICA D KIM |
NPI Number: | 1376914721 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPH, RD, CD |
License Number: | DI60488126 |
Business Practice Address: | 751 Ne Blakely Dr 3rd Floor Issaquah, WA - 980296201 |
Business Phone Number: | 4253137947 |
Business Fax Number: | |
Mailing Address: | 801 Broadway, Ste 800 SEATTLE |
State: | WA |
Postal Code: | 981224396 |
Phone Number: | 2062156670 |
Fax Number: | 2062153099 |
NPI Enumeration Date: | 10/12/2015 |
NPI Last Update Date: | 10/12/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | DI60488126 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |