Individual provider · Type 1 NPI

Jessie Kim-Deobald, MD

Specialist · Seattle, WA

NPI number 1902902018 Active

Practice location

1530 N 115th St, Suite 301
Seattle, WA 98133-8411

Fax (206) 365-5002

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1902902018

Jessie Kim-Deobald, MD's National Provider Identifier is 1902902018, issued on Sep 15, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Seattle, WA. The record was last updated on Jul 9, 2007.