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Individual
DR. JOSEPH SUN KIM
Active
Individual
DR. JOSEPH SUN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016004326
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
016004326
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016004326
—
IL
01
—
IL5729
MEDICARE PTAN
IL
Enumeration date
07/13/2005
Last updated
10/08/2021
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