Individual
DR. MAY JUNG KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
7300 WYNDHAM DR, SACRAMENTO, CA 95823-4913
(916) 525-6235
Mailing address
7300 WYNDHAM DR, SACRAMENTO, CA 95823-4913
(916) 525-6235
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY20999
CA
103T00000X
Psychologist
6301012879
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11548989
CAQH CREDENTIALING
MI
Enumeration date
02/08/2006
Last updated
02/11/2022
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