Individual
CHARLES K KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15290 PENNOCK LN, MAIL STOP 32200A, APPLE VALLEY, MN 55124-7163
(952) 431-8500
(952) 431-6966
Mailing address
8100 34TH AVE S, 21110Q, BLOOMINGTON, MN 55425-1672
(952) 883-5790
(952) 883-5395
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
48293
MN
Other
Enumeration date
03/09/2006
Last updated
01/22/2016
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