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Individual

KIMBO B CHIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M. D., F . A . C. S.

Contact information

Practice address
564 NIAGARA ST, BUFFALO, NY 14201-1108
(716) 332-0678
(716) 332-0679
Mailing address
564 NIAGARA ST, BUFFALO, NY 14201-1108
(716) 332-0678
(716) 332-0679

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
204877
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01582998
NY
Enumeration date
08/31/2006
Last updated
03/31/2016
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