Individual
MELISSA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
620 W LEXINGTON ST, BALTIMORE, MD 21201-1508
(443) 421-9049
Mailing address
8512 COUNTRY BROOKE WAY, LUTHERVILLE TIMONIUM, MD 21093-4766
(443) 431-9049
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/16/2019
Last updated
10/16/2019
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