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Individual
DR. TAMARA KELLER KIM
Active
Individual
DR. TAMARA KELLER KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, CPNP-PC
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R157873
MD
Other
Enumeration date
07/26/2021
Last updated
08/14/2024
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