Individual
BONNIE B KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4509 GRAVEL PIKE, GREEN LANE, PA 18054-2215
(610) 348-0402
Mailing address
4509 GRAVEL PIKE, GREEN LANE, PA 18054-2215
(610) 348-0402
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD037535-Y
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000890431
—
PA
Enumeration date
09/06/2006
Last updated
02/28/2017
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