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Individual
CHARLES S. KIM
Active
Individual
CHARLES S. KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
41236
TN
208100000X
Physical Medicine & Rehabilitation Physician
41236
TN
208100000X
Physical Medicine & Rehabilitation Physician
Primary
57253
MN
Other
Enumeration date
06/07/2006
Last updated
03/17/2018
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