Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kyong Ho Kim, DO

Individual provider Anesthesiology Physician · NPI 1124009303

Kyong Ho Kim, DO is an Interventional Pain Management in Lakewood, Washington. Qualified in 1991, 35 years ago. Practices with Sound Pain Alliance, a 44-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
35
Licensed in
WA
In the registry since
2005
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

11306 Bridgeport Way SW Ste D
Lakewood, WA 98499-3037
Phone: (253) 983-9390
Fax: (253) 983-0066
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 155 Lilly Rd Ne Ste B, Olympia, WA 98506-5028 — (206) 538-6300

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X · Licence OP00001595 (WA)
Anesthesiology Physician Taxonomy 207L00000X · Licence OP00001595 (WA)

Record details

NPI number1124009303
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedNovember 7, 2005
Last updated in NPPESFebruary 15, 2023
Certification dateFebruary 15, 2023
Mailing addressPo Box 39324, Lakewood, WA 98496-3324

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERVENTIONAL PAIN MANAGEMENT
Also practisesPAIN MANAGEMENT
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice Sound Pain Alliance — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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