Individual
JULIE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6363 FRANCE AVE S STE 610, EDINA, MN 55435-2144
(952) 836-3645
Mailing address
538 CRETIN AVE S, SAINT PAUL, MN 55116-1128
(615) 720-8845
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14830
MN
Other
Enumeration date
02/08/2024
Last updated
02/08/2024
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