Individual
RONALD C KIM
Active
Individual
RONALD C KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZN0500X
Neuropathology Physician
Primary
G13550
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G135500
BLUE SHIELD
CA
05
—
00G135500
—
CA
01
—
220027744
RAILROAD MEDICARE
CA
01
—
WG13550A
MEDICARE PTAN
CA
Enumeration date
09/21/2006
Last updated
05/16/2008
Update your record
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