Individual
DR. PETER KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 DUDLEY ST STE 190, PROVIDENCE, RI 02905-3248
(401) 553-8341
(401) 868-2319
Mailing address
PO BOX 16149, RUMFORD, RI 02916-0697
(401) 453-9625
(401) 435-7069
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD039738
DC
2086S0120X
Pediatric Surgery Physician
Primary
MD16869
RI
Other
Enumeration date
09/13/2011
Last updated
02/05/2020
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