Individual
CHI KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5645 MAIN ST, FLUSHING, NY 11355-5045
(718) 670-1495
Mailing address
5645 MAIN ST, FLUSHING, NY 11355-5045
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
08231
NY
Other
Enumeration date
07/08/2008
Last updated
12/08/2022
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