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Individual

DR. KWANGSU KIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
21909 NORTHERN BLVD, BAYSIDE, NY 11361-3525
(718) 229-9200
(866) 668-7533
Mailing address
21909 NORTHERN BLVD, BAYSIDE, NY 11361-3525
(718) 229-9200
(866) 668-7533

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N006264-01
NY

Other

Enumeration date
02/28/2008
Last updated
10/29/2025
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