Individual
KENDRICK SANGYEOP KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1590 TROPIC PARK DR, SANFORD, FL 32773-6323
(732) 554-7999
Mailing address
1927 CHATHAM PLACE DR, ORLANDO, FL 32824-4770
(732) 554-7999
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/05/2021
Last updated
01/12/2023
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