Individual
ALICE KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-8450
(401) 444-5088
Mailing address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-8450
(401) 444-5088
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
LP00500
RI
2085R0202X
Diagnostic Radiology Physician
Primary
MD491841
PA
Other
Enumeration date
04/25/2007
Last updated
11/18/2025
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