Individual
KISUNG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BM
Contact information
Practice address
2450 SISTER MARY COLUMBA DR, RED BLUFF, CA 96080-4356
(530) 527-0414
(530) 527-3720
Mailing address
2450 SISTER MARY COLUMBA DR, RED BLUFF, CA 96080-4356
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
A141207
CA
Other
Enumeration date
03/17/2014
Last updated
04/03/2019
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