Organization
DR CASEY KIM PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYONGCHOL KIM MD (PHYSICIAN)
(423) 619-4894
Entity
Organization
Contact information
Practice address
7902 EAGLE MERE RD, CHATTANOOGA, TN 37421-7315
(423) 619-4894
Mailing address
7902 EAGLE MERE RD, CHATTANOOGA, TN 37421-7315
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
43029
TN
Other
Enumeration date
05/26/2010
Last updated
06/02/2011
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