Individual
KEVIN T. KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1325 E CHURCH ST STE 301, SANTA MARIA, CA 93454-5915
(805) 349-9393
Mailing address
1325 E CHURCH ST STE 301, SANTA MARIA, CA 93454-5915
(805) 349-9393
(805) 614-7929
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
A84507
CA
207RH0003X
Hematology & Oncology Physician
M11056
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
635302-01
—
HI
Enumeration date
10/03/2006
Last updated
11/02/2023
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