Individual
FADALIA D KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2782 WASHINGTON DR STE 100, NORMAN, OK 73069-1013
(405) 400-1152
(405) 217-4383
Mailing address
1105 SW 30TH CT, MOORE, OK 73160-2887
(405) 676-5114
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
27133
OK
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
27133
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200287330B
—
OK
Enumeration date
05/29/2009
Last updated
05/19/2025
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