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Organization

KIM'S ORTHOPEDIC SHOES,INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KI H KIM (PRESIDENT)
(718) 661-2001
Entity
Organization

Contact information

Practice address
15603 NORTHERN BLVD, FLUSHING, NY 11354-5033
(718) 661-2001
(718) 661-1072
Mailing address
15603 NORTHERN BLVD, FLUSHING, NY 11354-5033
(718) 661-2001
(718) 661-1072

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01588563
NY
Enumeration date
11/17/2006
Last updated
07/18/2008
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