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Individual
EDWARD T KIM
Active
Individual
EDWARD T KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A100042
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0020610
—
CA
Enumeration date
01/30/2007
Last updated
09/10/2020
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