Individual
FREDERICK SEUNGJOON KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
555 SECOND AVE STE 300, COLLEGEVILLE, PA 19426-3600
(610) 454-7750
Mailing address
555 SECOND AVE STE 300, COLLEGEVILLE, PA 19426-3600
(610) 454-7750
(610) 454-1367
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS025030
PA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/25/2021
Last updated
07/15/2025
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