Individual
ERIC TAEJUN KIM
Active
Individual
ERIC TAEJUN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
05052
KY
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
20A19826
CA
390200000X
Student in an Organized Health Care Education/Training Program
05052
KY
390200000X
Student in an Organized Health Care Education/Training Program
19826
CA
Other
Enumeration date
04/13/2019
Last updated
09/21/2023
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