Individual
DR. TRACEY KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
220 HOVEY RD, PENSACOLA, FL 32508-1044
(850) 452-9484
Mailing address
220 HOVEY RD, PENSACOLA, FL 32508-1044
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
2083A0100X
Aerospace Medicine Physician
20A17070
CA
208D00000X
General Practice Physician
Primary
20A17070
CA
Other
Enumeration date
04/24/2017
Last updated
07/17/2025
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