Individual
TRICIA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4235 SECOR RD, TOLEDO, OH 43623-4299
(419) 473-3561
Mailing address
4235 SECOR RD, TOLEDO, OH 43623-4299
(419) 473-3561
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
34.017359
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0096998
—
OH
Enumeration date
04/17/2018
Last updated
04/17/2025
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