Individual
DR. CAROL KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3842 S GLENSTONE AVE, SPRINGFIELD, MO 65804-4418
(417) 420-9024
Mailing address
PO BOX 66, NIXA, MO 65714-0066
(951) 444-8007
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
2019024070
MO
Other
Enumeration date
01/11/2011
Last updated
05/28/2020
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