Individual
GRACE CHARMIE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPP
Contact information
Practice address
85 SIERRA PARK RD # A, MAMMOTH LAKES, CA 93546-2073
(760) 924-4000
Mailing address
85 SIERRA PARK RD, MAMMOTH LAKES, CA 93546-2073
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A178510
CA
Other
Enumeration date
04/01/2019
Last updated
06/16/2025
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