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Individual

NICOLA KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
Mailing address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 686-8000

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
E-3478
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
148594001
AR
01
180045626
RAILROAD MEDICARE
AR
01
P00020429
RAILROAD MEDICARE
AR
Enumeration date
10/13/2006
Last updated
12/29/2007
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