Individual
LYNDON KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
909 WALNUT ST, 2ND FLOOR, PHILADELPHIA, PA 19107-5211
(215) 955-7000
(215) 503-7007
Mailing address
909 WALNUT ST, 2ND FLOOR, PHILADELPHIA, PA 19107-5211
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
234593
MA
207T00000X
Neurological Surgery Physician
Primary
MD439207
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0239674
—
NJ
05
—
102470466
—
PA
05
—
402368400
—
MD
Enumeration date
06/09/2006
Last updated
03/19/2014
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