Individual
TIMOTHY J KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12902 MAGNOLIA DR, TAMPA, FL 33612
(813) 745-2226
Mailing address
12902 MAGNOLIA DR, TAMPA, FL 33612
(813) 745-2226
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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