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Individual

DEVIN PAUL KIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
13395 N MARANA MAIN ST BLDG B, MARANA, AZ 85653-7008
(520) 682-1091
(520) 682-4132
Mailing address
PO BOX 188, MARANA, AZ 85653-0188
(520) 682-4111
(520) 616-1442

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
47721
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
914619
AZ
Enumeration date
07/09/2009
Last updated
02/15/2022
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