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Individual

KYUNG SEO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M

Contact information

Practice address
9105 FRANKLIN SQUARE DR STE 214, BALTIMORE, MD 21237-3934
(443) 777-7631
Mailing address
9105 FRANKLIN SQUARE DR STE 214, BALTIMORE, MD 21237-3934
(443) 777-7631

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
308647
LA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
01762
MD
213ES0103X
Foot & Ankle Surgery Podiatrist
SC006590
PA

Other

Enumeration date
07/01/2014
Last updated
10/12/2023
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