Individual
LARRY INLIP KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 E MARSHALL STREET, NRW 141, PHILADELPHIA, PA 19380-4412
(610) 431-5472
Mailing address
701 E MARSHALL STREET, NRW 141, PHILADELPHIA, PA 19380-4412
(610) 431-5472
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD429858
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000213102
UNISON
PA
05
—
1018981970001
—
PA
01
—
1957622
HIGHMARK
PA
01
—
20062997
AMERIHEALTH MERCY
PA
01
—
2849064000
IBC
PA
01
—
30042528
KEYSTONE MERCY
PA
01
—
50070417
CAPITAL ADVANTAGE
PA
01
—
821632
1ST HEALTH PRIORIT
PA
Enumeration date
02/27/2007
Last updated
07/23/2021
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