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Individual
DR. SHELLEY E KIM
Active
Individual
DR. SHELLEY E KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
52763
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
977586582B
—
GA
05
—
977586582C
—
GA
Enumeration date
08/23/2006
Last updated
01/24/2014
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