Individual
DR. ICKHEE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2011
Mailing address
1215 FAIRFIELD CREEK DR, PFAFFTOWN, NC 27040
(336) 918-5384
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2021-02090
NC
Other
Enumeration date
06/29/2021
Last updated
06/29/2021
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