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Individual

RICHARD JAY KIM

Active
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Individual

RICHARD JAY KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G83441
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080107620
RAILROAD MEDICARE
AZ
05
—
384884
—
AZ
01
—
86080015085259A509
TRIWEST
AZ
01
—
86080015085260A093
TRIWEST
AZ
Enumeration date
12/09/2005
Last updated
12/16/2019
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