Individual
CHARLES X KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
720 WASHINGTON AVE SE, UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55414
(612) 884-0649
Mailing address
720 WASHINGTON AVE SE, UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55414
(612) 884-0649
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
102446
MN
207RC0000X
Cardiovascular Disease Physician
Primary
48936
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
894683000
—
MN
Enumeration date
08/13/2006
Last updated
11/01/2012
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