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

Individual provider Prosthetist · NPI 1205469889

Shannon J Kim, CPO, LCPO is a Prosthetist in Seattle, Washington. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

501 Eastlake Ave E Ste 300 Seattle WA
Seattle, WA 98109
Phone: (206) 598-4026
Fax: (206) 598-4761
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetist (primary) Taxonomy 224P00000X

Record details

NPI number1205469889
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPO , LCPO
Sole proprietorNo
NPI enumeratedFebruary 21, 2020
Last updated in NPPESOctober 2, 2024
Certification dateSeptember 30, 2024

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