Individual
MIN CHUNG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8300 COLLIER BLVD, NAPLES, FL 34114
(239) 354-6000
Mailing address
2614 TAMIAMI TRAIL NORTH, 225, NAPLES, FL 34103
(239) 262-3644
(239) 262-3644
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME94534
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274449000
—
FL
01
—
28800
BLUE CROSS OF FLORIDA
FL
Enumeration date
07/21/2006
Last updated
06/05/2009
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