Individual
PETER JOO KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9500 KANIS RD, SUITE 501, LITTLE ROCK, AR 72205-6324
(501) 227-9080
(501) 227-0410
Mailing address
9500 KANIS RD, SUITE 501, LITTLE ROCK, AR 72205-6324
(501) 227-9080
(501) 227-0410
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
E5116
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164967001
—
AR
Enumeration date
05/22/2007
Last updated
05/14/2012
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