Individual
DR. CHARLES B KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
502 ELM ST NE, ALBUQUERQUE, NM 87102-2512
(505) 841-1000
(505) 843-2592
Mailing address
502 ELM ST NE, ALBUQUERQUE, NM 87102-2512
(505) 841-1000
(505) 843-2956
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
9889
NM
207RI0011X
Interventional Cardiology Physician
Primary
9889
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55953
—
NM
Enumeration date
07/11/2006
Last updated
08/18/2014
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