Individual
KYONG-MEE S KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1688 WILLOW ST, SUITE C, SAN JOSE, CA 95125-5109
(408) 448-2817
(408) 448-4807
Mailing address
1688 WILLOW ST, SUITE C, SAN JOSE, CA 95125-5109
(408) 448-2817
(408) 448-4807
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
A77494
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A774940
—
CA
Enumeration date
02/06/2006
Last updated
05/27/2010
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