Individual
VIVIAN TERESA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(650) 742-2000
Mailing address
PO BOX 7793, SAN FRANCISCO, CA 94120-7793
(503) 372-2740
(503) 372-2754
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
68903
WI
207L00000X
Anesthesiology Physician
G78573
CA
207L00000X
Anesthesiology Physician
Primary
MD54457
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G785730
—
CA
Enumeration date
05/16/2006
Last updated
05/27/2025
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