Individual
DR. SUNGWAN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, ATC
Contact information
Practice address
80 HOPE AVE APT 317, WALTHAM, MA 02453-2745
(774) 257-3686
Mailing address
80 HOPE AVE APT 317, WALTHAM, MA 02453-2745
(774) 257-3686
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/30/2020
Last updated
06/01/2025
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