Individual
DR. DONNA C KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13 INDUSTRIAL PARK ROAD, SACO, ME 04072
(207) 283-8800
(207) 286-9853
Mailing address
9 HEALTHCARE DRIVE, SUITE 201, BIDDEFORD, ME 04005
(207) 282-9080
(207) 286-9853
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
018336
ME
207Q00000X
Family Medicine Physician
EC-06-1061
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194897801
ANTHEM
ME
05
—
1194897801
—
ME
01
—
4888781002
CIGNA
ME
01
—
AA196072
HARVARD PILGRIM
ME
Enumeration date
11/15/2006
Last updated
06/07/2011
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