Individual
DR. ASHLEY KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
510 HAMBURG TPKE STE 108, WAYNE, NJ 07470-2033
(973) 925-4111
Mailing address
510 HAMBURG TPKE STE 108, WAYNE, NJ 07470-2033
(973) 925-4111
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00355400
NJ
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/08/2017
Last updated
09/21/2020
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