Individual
JENNIFER KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
601 WALNUT ST, SUITE L30, PHILADELPHIA, PA 19106
(215) 925-6402
(215) 925-0262
Mailing address
10810 CONNECTICUT AVE, KENSINGTON, MD 20895-2138
(301) 974-4628
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD443077
PA
Other
Enumeration date
01/12/2007
Last updated
01/08/2022
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