Individual
KIM DO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH
Contact information
Practice address
635 S DIXIE BLVD, RADCLIFF, KY 40160-1219
(270) 352-0880
Mailing address
635 S DIXIE BLVD, RADCLIFF, KY 40160-1219
(270) 352-0880
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
018873
KY
Other
Enumeration date
10/10/2016
Last updated
10/10/2016
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