# GRACE W. KIM MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548570070
- **Authorized official:** GRACE W KIM MD (PRESIDENT)
- **Authorized official phone:** (978) 475-5656

## Contact information

- **Practice address:** 138 HAVERHILL STREET, ANDOVER, MA 01810
- **Practice address phone:** (978) 475-5656
- **Practice address fax:** (978) 475-9034
- **Mailing address:** PO BOX 2200, AMHERST, NH 03031
- **Mailing address phone:** (603) 673-9411
- **Mailing address fax:** (866) 267-2719

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/18/2010
- **Last updated:** 10/18/2010