Individual
YONG JUN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
3430 IRBY DR APT 702, CONWAY, AR 72034-7660
(419) 348-6800
Mailing address
3430 IRBY DR APT 702, CONWAY, AR 72034-7660
(419) 348-6800
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
643
AR
Other
Enumeration date
02/23/2016
Last updated
02/23/2016
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