Individual
ICK HO KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
10 CENTER DRIVE, BETHESDA, MD 20892
(301) 451-0336
Mailing address
21408 RABBITS GLEN CT, GERMANTOWN, MD 20876-6951
(240) 688-9899
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R169959
MD
Other
Enumeration date
10/12/2018
Last updated
10/12/2018
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