Individual
REGINA Y KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
75 GRAY RD, FALMOUTH, ME 04105-2010
(207) 535-1340
(207) 535-1358
Mailing address
MERCY WEST FALMOUTH PRIMARY CARE, 75 GRAY RD, FALMOUTH, ME 04105
(207) 535-1340
(207) 535-1358
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
226532
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02462628
—
NY
Enumeration date
10/16/2006
Last updated
12/08/2017
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