Individual
KEETAE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1880 WATSON BLVD, WARNER ROBINS, GA 31093-3612
(478) 975-9677
Mailing address
1880 WATSON BLVD, WARNER ROBINS, GA 31093-3612
(478) 975-9677
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH032854
GA
Other
Enumeration date
05/01/2022
Last updated
05/09/2022
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