Individual
ANNIE S KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5546 FAIRVIEW RD, BAXTER, MN 56425-8279
(214) 454-6999
Mailing address
9365 VIKING ST, BRAINERD, MN 56401-1030
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1042291
MN
Other
Enumeration date
06/10/2026
Last updated
06/10/2026
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