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Individual

SUNMIN KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1605 EAGLE DR, MOORE, OK 73160-2699
(253) 778-6646
Mailing address
1605 EAGLE DR, MOORE, OK 73160-2699
(253) 778-6646

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-38743
KS

Other

Enumeration date
05/15/2013
Last updated
08/08/2021
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