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Individual

DR. SUNNY S KIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1601 HIGHWAY 13 E STE 211, BURNSVILLE, MN 55337-5105
(320) 763-8888
(952) 405-9760
Mailing address
6600 STATE HIGHWAY 29 S, ALEXANDRIA, MN 56308-6196
(320) 763-8888
(320) 763-8898

Taxonomy

Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
31927
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1748051
MN
01
31927
STATE LICENSE #
MN
Enumeration date
04/03/2006
Last updated
09/13/2021
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