Individual
DORIS KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
700 S PARK ST STE A, MADISON, WI 53715-1830
(608) 260-2900
(608) 260-2976
Mailing address
700 S PARK ST STE A, MADISON, WI 53715-1830
(608) 260-2900
(608) 260-2976
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
82001-20
WI
208600000X
Surgery Physician
MMD.38497 LL
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053793141
—
WI
Enumeration date
06/24/2015
Last updated
05/08/2023
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