Individual
MRS. HI SOOK KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5438 N LAWRENCE STREET, ATTN: HI SOOK KIM, MD, PHILADELPHIA, PA 19120
(215) 224-2111
(215) 224-6452
Mailing address
5438 N LAWRENCE STREET, PHILADELPHIA, PA 19120
(215) 224-2111
(215) 224-6452
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD016901E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0274
AETNA
PA
05
—
03417
—
PA
01
—
0646651001
KEYSTONE EAST
—
Enumeration date
08/30/2006
Last updated
07/08/2007
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