Individual
DANIEL KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3 MEDICAL PLAZA DR STE 110, ROSEVILLE, CA 95661-3088
(916) 773-7905
Mailing address
PO BOX 255228, SACRAMENTO, CA 95865-5228
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E5625
CA
Other
Enumeration date
04/10/2017
Last updated
10/13/2023
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