Individual
KRISTIN ELIZABETH KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1130 W MICHIGAN ST, FESLER HALL 204, INDIANAPOLIS, IN 46202-5209
(713) 274-4343
Mailing address
2995 DREW ST, CLEARWATER, FL 33759-3012
(727) 315-7496
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01082220A
IN
207L00000X
Anesthesiology Physician
Primary
152051
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2015
Last updated
05/01/2024
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