Individual
DR. INWON KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
835 W CENTRAL AVE, LAKE WALES, FL 33853-4024
(863) 678-4144
(863) 678-4000
Mailing address
1290 GOLFVIEW AVE, 4TH FLOOR BILLING DEPT, BARTOW, FL 33830-6740
(863) 519-7900
(863) 519-7696
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
C51880
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280870600
—
FL
Enumeration date
07/26/2006
Last updated
01/30/2013
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