Individual
FERNANDO J KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9320 US HIGHWAY 301 S STE 350, RIVERVIEW, FL 33578-6300
(813) 328-2070
Mailing address
9320 US HIGHWAY 301 S STE 350, RIVERVIEW, FL 33578-6300
(813) 328-2070
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
38899
CO
208800000X
Urology Physician
DL38899
CO
208800000X
Urology Physician
Primary
ME170180
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
82487847
—
CO
Enumeration date
08/16/2006
Last updated
11/07/2024
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