Individual
AMANDA JENNIFER KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 778-5040
Mailing address
11936 GORHAM AVE APT 101, LOS ANGELES, CA 90049-5360
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
—
Other
Enumeration date
03/21/2026
Last updated
03/21/2026
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