Individual
MR. KWANG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
KAYENTA PHS HEALTH CLINIC, HWY 160 AND 163, KAYENTA, AZ 86033
(928) 697-4000
(928) 697-4145
Mailing address
P.O. BOX 3905, KAYENTA, AZ 86033-3905
(928) 697-4281
(928) 697-4145
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/26/2006
Last updated
07/08/2007
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