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Individual

KIM DAVID FLORA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
1086 N. CHERRY STREET, TULARE, CA 93274-2251
(559) 688-3668
(559) 688-1814
Mailing address
1086 N CHERRY ST, TULARE, CA 93274-2251
(559) 686-9459
(559) 688-1814

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E3667
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000E36670
MEDI-CAL ID #
CA
01
RHC140182
RADIOGRAPHY LIC #
CA
Enumeration date
07/12/2005
Last updated
03/07/2023
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