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Individual
SION KIM
Active
Individual
SION KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MB12711700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MB12711700
STATE LICENSE
NJ
01
—
OS025019
STATE LICENSE
PA
Enumeration date
05/24/2017
Last updated
06/18/2025
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