Individual
RANDIE KIM
Active
Individual
RANDIE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
275296
NY
207ZD0900X
Dermatopathology (Pathology) Physician
275296
NY
Other
Enumeration date
08/31/2009
Last updated
01/03/2017
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