Individual
KEUN-SUH KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2141 HILL CT, COLTON, CA 92324-9512
(909) 501-4730
Mailing address
2141 HILL CT, COLTON, CA 92324-9512
(909) 501-4730
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A129431
CA
Other
Enumeration date
08/01/2016
Last updated
08/01/2016
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