Individual
CHARLES KIM
Active
Individual
CHARLES KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
12344
ND
390200000X
Student in an Organized Health Care Education/Training Program
BP10032227
TX
Other
Enumeration date
06/24/2008
Last updated
01/20/2022
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