Individual
SANG HYUB KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM, MPH
Contact information
Practice address
5800 RIDGE AVE, PHILADELPHIA, PA 19128
(215) 483-9900
Mailing address
2615 DEKALB PIKE APT 506, EAST NORRITON, PA 19401-1831
(646) 462-2625
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
SC006955
PA
213EP1101X
Primary Podiatric Medicine Podiatrist
SC006955
PA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC006955
PA
Other
Enumeration date
07/10/2018
Last updated
07/11/2018
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