Individual
MIN SUN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
60 FENWOOD RD, BOSTON, MA 02115-6128
(267) 667-0796
Mailing address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5189
(267) 667-0796
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
1019676
MA
Other
Enumeration date
06/18/2019
Last updated
08/14/2024
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