Individual
KEITH CHAE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
410 CELEBRATION PL, SUITE 401, CELEBRATION, FL 34747-5433
(407) 303-4658
(407) 303-4189
Mailing address
410 CELEBRATION PL, SUITE 401, CELEBRATION, FL 34747-5433
(407) 303-4658
(407) 303-4189
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME88949
FL
Other
Enumeration date
08/03/2006
Last updated
04/30/2012
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