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Individual

GRACE JEWEL KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2100 ERWIN RD, DURHAM, NC 27705-3941
(919) 684-8111
Mailing address
5213 S ALSTON AVE, DURHAM, NC 27713-4430
(919) 620-4700

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
2011-01018
NC
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/03/2007
Last updated
10/17/2023
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