Individual
DONGHEE KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1930 FREQUENT FLYER PT, COLORADO SPRINGS, CO 80915-1500
(800) 345-0448
Mailing address
1930 FREQUENT FLYER PT, COLORADO SPRINGS, CO 80915-1500
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB552856
CO
Other
Enumeration date
01/02/2020
Last updated
01/02/2020
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