Individual
DR. CHARLES HUMPHREY KIM
Active
Individual
DR. CHARLES HUMPHREY KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
D0045080
MD
207L00000X
Anesthesiology Physician
Primary
ME132190
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107975600
—
FL
05
—
310010300
—
MD
05
—
ME132190
—
FL
01
—
P00654786
RAILROAD MEDICARE
MD
Enumeration date
01/22/2007
Last updated
07/03/2024
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