SOO M KIM
NPI 1396271185
Student in an Organized Health Care Education/Training Program in Burien, WA

Q: What is Soo Kim's NPI number?

The NPI number for Soo Kim is 1396271185. It was assigned to this individual provider in the NPPES registry on May 11, 2017.

Q: What is Soo Kim's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Soo Kim was last updated on November 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 11, 2017

1210 SW 136TH ST, BURIEN, WA 98166(206) 242-1698 Get Directions Write a Review

NPPES record last updated: November 28, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 28, 2018, May 11, 2017 (2 updates tracked since 2017).

On this page

About Soo M Kim NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOO M KIM (NPI 1396271185) is an individual student in an organized health care education/training program in Burien, Washington and active in the NPI registry since May 2017. She maintains a secondary practice location in Tukwila.

NPPES Registry Identity

NPI1396271185

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameSOO M KIM

Location Address1210 SW 136TH STBurien, WA 98166-1214

Mailing Address10501 8th Ave Ne Apt 210Seattle, WA 98125-7230 · (206) 326-0816

Phone(206) 242-1698

Sole ProprietorYes

Enumeration DateMay 11, 2017

Last NPPES UpdateNovember 28, 20182 updates tracked since enumeration

✔ NPI 1396271185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedBehavior AnalystTaxonomy 103K00000X · License CG 60553309 (WA)

1210 SW 136TH ST, Burien, WA 98166

Open in Google Maps ↗

Secondary Practice Location 1

Location 115445 53rd Ave S Ste 110Tukwila, WA 98188-2326 · Phone (206) 326-0816

Other Identifiers 1

Medicaid111524501WA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAYLOR MARIE GROGAN

Counselor (Mental Health)