Individual
ANNE KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
15236 N 59TH AVE, GLENDALE, AZ 85306-3206
(602) 337-8356
(602) 337-8364
Mailing address
15236 N 59TH AVE, GLENDALE, AZ 85306-3206
(602) 337-8356
(602) 337-8364
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
08/29/2014
Last updated
04/25/2017
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