Individual
MR. JANGSOO KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
901 S NATIONAL AVE., SPRINGFIELD, MO 65897
(417) 836-5000
Mailing address
310 N JEFFERSON AVE #L13, SPRINGFIELD, MO 65806
(417) 268-7768
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/20/2019
Last updated
06/20/2019
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