Individual
MR. CHONG KI KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
5399 W GENESEE ST, CAMILLUS, NY 13031-2265
(315) 487-6714
(315) 487-0988
Mailing address
5147 BURNSIDE DR, JAMESVILLE, NY 13078-3711
(315) 882-2064
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
42867
NY
Other
Enumeration date
11/04/2009
Last updated
11/04/2009
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