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Individual

GRACE ZA KIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
245 TAYLOR STATION RD, COLUMBUS, OH 43213-4400
(614) 861-0448
(614) 861-7717
Mailing address
245 TAYLOR STATION RD, COLUMBUS, OH 43213-4400
(614) 861-0448
(614) 861-7717

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35038852K
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0333099
OH
Enumeration date
04/12/2006
Last updated
12/13/2011
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