Individual
TIMOTHY J KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME114921
FL
390200000X
Student in an Organized Health Care Education/Training Program
TRN11143
FL
Other
Enumeration date
10/16/2007
Last updated
07/06/2021
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