Individual
NING DEIH KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1510 W 118TH ST S, JENKS, OK 74037-4286
(918) 850-6468
Mailing address
1510 W 118TH ST S, JENKS, OK 74037-4286
(918) 850-6468
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/16/2023
Last updated
06/16/2023
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