Individual
CAROL KIM
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1570 E HERNDON AVE, FRESNO, CA 93720-3303
(559) 437-7304
Mailing address
PO BOX 28900, FRESNO, CA 93729-8900
(559) 228-4205
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G85779
CA
Other
Enumeration date
09/14/2005
Last updated
07/09/2007
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