npidexNPI registry + Medicare data

JESSICA KIM, MD

Dermatology Physician · PUYALLUP, WA

Individual Active Opted out of Medicare NPI 1891703781

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Dermatology Physician207N00000X✓MD00042827WA

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
Yes

Opted out of Medicare (Dermatology), effective 2016-05-31 through 2028-05-31.

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.