Individual
SHIRLEY KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2823 FRESNO ST, FRESNO, CA 93721-1324
(559) 499-6500
(559) 499-6411
Mailing address
2625 E DIVISADERO ST, FRESNO, CA 93721-1431
(559) 443-2682
(559) 443-2681
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
16911
CA
208M00000X
Hospitalist Physician
Primary
20A16911
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2017
Last updated
07/01/2021
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