Individual
KELLY-ANN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 PARK ST, PATHOLOGY, GLENS FALLS, NY 12801-4413
(518) 253-1822
Mailing address
27 LAWNRIDGE AVE, ALBANY, NY 12208-3111
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
263824
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
263824
NY
Other
Enumeration date
10/14/2008
Last updated
08/06/2013
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