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Individual

DR. GRACE E KIM

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
505 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2204
(415) 353-1613
(415) 353-1200
Mailing address
1635 DIVISADERO ST, STE 625, BOX 1821, SAN FRANCISCO, CA 94143-0001
(415) 476-4029
(415) 476-4150

Taxonomy

Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
A61861
CA
207ZP0213X
Pediatric Pathology Physician
A61861
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A618610
CA
Enumeration date
05/01/2006
Last updated
09/11/2025
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