Individual
TIFFANY EVA KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
320 E NORTH AVE, PITTSBURGH, PA 15212-4756
(412) 359-3400
Mailing address
169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL, MSC333, CHARLESTON, SC 29425-8905
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
OT024709
PA
208600000X
Surgery Physician
LL91452
SC
Other
Enumeration date
06/17/2024
Last updated
06/09/2025
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