Individual
LYDIA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 N WOLFE ST STE 3075, BALTIMORE, MD 21287
(410) 955-2035
(410) 955-1030
Mailing address
9910 FRANKLIN SQUARE DR # 2110, BALTIMORE, MD 21236-4902
(410) 933-6421
(410) 955-1030
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D80188
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D80188
LICENSE
MD
Enumeration date
03/28/2012
Last updated
06/11/2019
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