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Individual

SEONG CHEOL KIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2647 MEADOWWEDGE LOOP, ST CLOUD, FL 34772
(407) 793-4608
(269) 651-1411
Mailing address
2647 MEADOWWEDGE LOOP, ST CLOUD, FL 34772
(407) 793-4608
(269) 651-1411

Taxonomy

Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
039276
MI
2083X0100X
Occupational Medicine Physician
039276
MI
208D00000X
General Practice Physician
Primary
4301039276
MI
208D00000X
General Practice Physician
SK039276
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4542300
MI
Enumeration date
07/28/2005
Last updated
11/17/2023
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