Individual
DR. IAN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1895 E DIXON BLVD, SHELBY, NC 28152-6901
(800) 805-6989
Mailing address
213 CATTLE RIDGE RD, WAXHAW, NC 28173-6843
(704) 975-9636
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9400542
NC
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
9400542
NC
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
01/18/2007
Last updated
07/07/2023
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