Individual
MR. KIRTNEY SO LIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
47149 BUSE RD, PATUXENT RIVER, MD 20670-1540
(619) 642-4871
Mailing address
47149 BUSE RD, PATUXENT RIVER, MD 20670-1540
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
11/13/2018
Last updated
03/27/2024
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