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

Individual provider Family Medicine Physician · NPI 1053403634

Mark S. Kim, MD is a Vascular Surgery in Puyallup, Washington. Graduated from Baylor College of Medicine in 1997, 29 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
29
Trained at
Baylor College of Medicine
Licensed in
WA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1803 S Meridian
Puyallup, WA 98371
Phone: (253) 268-3400
Fax: (253) 268-3870
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Phlebology Physician (primary) Taxonomy 202K00000X · Licence MD00038816 (WA)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD00038816 (WA)

Record details

NPI number1053403634
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 29, 2006
Last updated in NPPESJanuary 15, 2019
Mailing address1803 S Meridian, Puyallup, WA 98371-7513

Medicare enrollment

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

Medicare specialtyVASCULAR SURGERY
Medical schoolBAYLOR COLLEGE OF MEDICINE
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Puyallup