Individual
CHONG KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
735 ATTUCKS LN, HYANNIS, MA 02601-1867
(508) 778-5420
Mailing address
1505 CHESHIRE CT, LAWRENCEVILLE, GA 30043-6514
(678) 333-4281
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/26/2021
Last updated
02/26/2021
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