Individual
DR. TRACY LEANN KIM
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1000 BUCKNER CTR, SUITE 3, LA GRANGE, KY 40031-7790
(502) 222-8848
(502) 222-9319
Mailing address
705 INDIAN RIDGE RD, LOUISVILLE, KY 40207-1750
(502) 896-0826
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
7129
KY
Other
Enumeration date
10/03/2005
Last updated
07/08/2007
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