Individual
MICHELLE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3333 N CALVERT ST, BALTIMORE, MD 21218-2867
(410) 554-6560
Mailing address
520 PARK AVE APT 330, BALTIMORE, MD 21201-4778
(443) 878-8550
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
MD
Other
Enumeration date
09/19/2017
Last updated
09/19/2017
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