Individual
SUSIE H KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1558 AKRON PENINSULA RD, AKRON, OH 44313-5154
(330) 922-0828
(330) 922-1727
Mailing address
1558 AKRON PENINSULA RD, AKRON, OH 44313-5154
(330) 922-0828
(330) 922-1727
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4757
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2028700
—
OH
Enumeration date
06/08/2006
Last updated
03/31/2008
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