Individual
KATHLYN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
581 N FRANKLIN TPKE, RAMSEY, NJ 07446-1139
(201) 236-2100
(201) 236-5081
Mailing address
581 N FRANKLIN TPKE, RAMSEY, NJ 07446-1139
(201) 236-2100
(201) 236-5081
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA06066900
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160045813
RAILROAD MDCR #
NJ
01
—
183891
EMPIRE BC/BS (MIDLAND PK)
NJ
01
—
183893
EMPIRE BC/BS (RAMSEY)
NJ
01
—
4506818
AETNA PPO #
NJ
01
—
872550
AETNA HMO #
NJ
01
—
BP357
OXFORD #
NJ
Enumeration date
09/15/2005
Last updated
04/08/2009
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