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Individual

HENRY KIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
5006 MONTGOMERY RD, ELLICOTT CITY, MD 21043-6719
(516) 851-7601
Mailing address
5006 MONTGOMERY RD, ELLICOTT CITY, MD 21043-6719
(516) 851-7601

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U02470
MD
183500000X
Pharmacist
0202210523
VA
183500000X
Pharmacist
040538
NY
183500000X
Pharmacist
19332
MD
183500000X
Pharmacist
40044
TN
183500000X
Pharmacist
58095
TX

Other

Enumeration date
09/14/2007
Last updated
01/17/2018
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