Individual
SAM KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
MADIGAN ARMY MEDICAL CENTER (MAMC) 9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-9009
Mailing address
1114 COLE CREEK DR, OMAHA, NE 68114-3042
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1285
NE
Other
Enumeration date
12/06/2008
Last updated
07/12/2024
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