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Individual

ESTHER KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
420 S 5TH AVE, WEST READING, PA 19611-2143
(484) 628-4908
Mailing address
PO BOX 13579, READING, PA 19612-3579

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
OT020298
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
02008345A
INDIANA LICENSE
IN
01
02008345B
INDIANA CSR
IN
Enumeration date
07/06/2020
Last updated
04/01/2025
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