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

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

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