Individual
ADRIAN KANG-SAN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
303 W SPRINGFIELD AVE, CHAMPAIGN, IL 61820-4817
(217) 356-3335
Mailing address
470 FAWELL BLVD APT 116, GLEN ELLYN, IL 60137-6785
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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