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Individual
SHIN YOUNG KIM
Active
Individual
SHIN YOUNG KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT23449
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT23449
PHYSICAL THERAPY
CA
Enumeration date
02/09/2012
Last updated
03/21/2012
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