Individual
DANIEL LEE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
132 ABIGAIL LN, PORT MATILDA, PA 16870-7153
(814) 272-5011
(814) 272-6531
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
D00065837
MD
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
MD065991L
PA
207VG0400X
Gynecology Physician
223931
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02248355
—
NY
Enumeration date
03/21/2006
Last updated
07/08/2022
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