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Individual
DR. KIM LEON COX
Active
Individual
DR. KIM LEON COX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
M5779
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010001682
REGENCE-BLUE SHIELD OF ID
ID
05
—
003643500
—
ID
01
—
160043915
RAILROAD MEDICARE
ID
01
—
76954
BLUE CROSS OF IDAHO
ID
Enumeration date
05/16/2006
Last updated
10/07/2011
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