Individual
MR. HEESUNG SEAN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
106 PINE BLUFF RD STE 11, SALISBURY, MD 21801-7161
(410) 742-0770
(410) 742-2589
Mailing address
106 PINE BLUFF RD STE 11, SALISBURY, MD 21801-7161
(410) 742-0770
(410) 742-2589
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0003939
MD
Other
Enumeration date
06/02/2009
Last updated
06/02/2009
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