Individual
JOSEPHINE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7405 NEW LAGRANGE ROAD, STE A, LOUISVILLE, KY 40222
(502) 425-6021
Mailing address
3360 HIKES LN, LOUISVILLE, KY 40220-2071
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11187
KY
Other
Enumeration date
04/17/2023
Last updated
08/07/2024
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