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Individual
ANDREW KIM
Active
Individual
ANDREW KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O., PLLC
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
11170
CA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
20A11170
CA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
DO1610
NV
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
M9411
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417100918
—
NV
Enumeration date
10/28/2008
Last updated
06/26/2019
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