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Individual
DR. KIM PHAM
Active
Individual
DR. KIM PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2024010981
MO
207RP1001X
Pulmonary Disease Physician
2023016758
MO
208M00000X
Hospitalist Physician
Primary
2024010981
MO
390200000X
Student in an Organized Health Care Education/Training Program
5151017727
MI
Other
Enumeration date
03/29/2020
Last updated
06/22/2026
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