Individual
PAULA J KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
27070 HOOVER RD, WARREN, MI 48093-4548
(586) 498-4300
(586) 498-4306
Mailing address
PO BOX 77000, DETROIT, MI 48277-2000
(586) 447-4171
(586) 447-4180
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
4301033397
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1930400
—
MI
Enumeration date
08/09/2005
Last updated
07/08/2007
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