Individual
CONNIE S KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
404 S SUTHERLAND AVE, MONROE, NC 28112-5060
(704) 291-9267
(704) 225-0428
Mailing address
404 S SUTHERLAND AVE, MONROE, NC 28112-5060
(704) 291-9267
(704) 225-0428
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
103277
NC
Other
Enumeration date
08/30/2006
Last updated
02/16/2010
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