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Organization
P JOHN KIM MD
Active
Organization
P JOHN KIM MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. P JOHN KIM MD (OWNER)
(386) 454-2724
Entity
Organization
Contact information
Practice address
18635 NW US HIGHWAY 441, HIGH SPRINGS, FL 32643-8708
(386) 454-2724
(386) 454-2899
Mailing address
18635 NW US HIGHWAY 441, HIGH SPRINGS, FL 32643-8708
(386) 454-2724
(386) 454-2899
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044632700
—
FL
Enumeration date
02/24/2015
Last updated
02/17/2016
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