Individual
KWON SOO KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 SPRUCE ST., SUITE 403, PHILADELPHIA, PA 19106-5109
(215) 829-8420
(215) 829-8418
Mailing address
700 SPRUCE ST., SUITE 403, PHILADELPHIA, PA 19106-5109
(215) 829-8420
(215) 829-8418
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD476584
PA
207RN0300X
Nephrology Physician
Primary
MD476584
PA
Other
Enumeration date
07/03/2017
Last updated
12/29/2022
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