Individual
BRIAN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10600 MASTIN ST, OVERLAND PARK, KS 66212-5723
(913) 469-6447
(913) 338-1311
Mailing address
PO BOX 741331, ATLANTA, GA 30374-1331
(913) 469-0503
(913) 338-1311
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
04-44840
KS
207L00000X
Anesthesiology Physician
9409174
KS
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
04-44840
KS
Other
Enumeration date
05/31/2017
Last updated
02/07/2024
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