Individual
EDWARD H KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2800 BLUE RIDGE RD STE 300, RALEIGH, NC 27607-6476
(919) 784-7874
Mailing address
2800 BLUE RIDGE RD STE 300, RALEIGH, NC 27607-6476
(919) 784-7874
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2008-01503
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1495P
BCBSNC
—
05
—
5910069
—
NC
Enumeration date
11/12/2006
Last updated
07/02/2019
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