Individual
ASHLEY KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1150 N 35TH AVE, HOLLYWOOD, FL 33021-5424
(954) 265-3500
Mailing address
12030 NW 35TH ST, SUNRISE, FL 33323-1266
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
02/02/2022
Last updated
02/02/2022
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