Individual
MI KYUNG KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1790 ATKINSON RD STE D200, LAWRENCEVILLE, GA 30043-7991
(678) 731-7545
(678) 731-7546
Mailing address
1790 ATKINSON RD STE D200, LAWRENCEVILLE, GA 30043-7991
(678) 731-7545
(678) 731-7546
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD001300
GA
Other
Enumeration date
07/10/2012
Last updated
05/10/2017
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