Individual
SELENA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAA
Contact information
Practice address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3031
(404) 616-1000
Mailing address
3140 CHESTNUT WOODS DR, ATLANTA, GA 30340-3245
(407) 810-3700
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
620-17
WI
367H00000X
Anesthesiologist Assistant
Primary
9537
GA
Other
Enumeration date
08/07/2019
Last updated
05/04/2026
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