Individual
DR. KUBINNE KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
221 LONGWOOD AVE, BOSTON, MA 02115-5804
(617) 732-4918
Mailing address
221 LONGWOOD AVE, BOSTON, MA 02115-5804
(617) 732-4918
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036-121720
IL
207N00000X
Dermatology Physician
282205
MA
207N00000X
Dermatology Physician
A92526
CA
Other
Enumeration date
08/14/2007
Last updated
08/10/2020
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