Individual
DR. SO RA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
405 S MORRISON RD, APT # 99, MUNCIE, IN 47304-4043
(702) 743-0286
Mailing address
405 S MORRISON RD, APT # 99, MUNCIE, IN 47304-4043
(702) 743-0286
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
11014847A
IN
Other
Enumeration date
06/13/2009
Last updated
06/15/2009
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