Individual
KELLY KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6301 YORK RD, BALTIMORE, MD 21212-2636
(443) 524-4535
Mailing address
207 WESTPORT BAY DR, APT 304, GLEN BURNIE, MD 21061-6380
(443) 570-0960
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0202212706
VA
183500000X
Pharmacist
Primary
21005
MD
Other
Enumeration date
12/03/2014
Last updated
12/04/2014
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