Individual
MR. DONG JIN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1651 SE US HIGHWAY 19, CRYSTAL RIVER, FL 34429-4830
(352) 794-0089
Mailing address
195 E HARTFORD ST APT 7A, HERNANDO, FL 34442-3390
(352) 419-0220
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS41788
FL
Other
Enumeration date
02/15/2015
Last updated
02/15/2015
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