Individual
GRACE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106
(216) 844-8447
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35-121514
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/05/2009
Last updated
12/30/2014
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