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Individual

SANGAE KIM-PARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
52 MEDICAL PARK DR E, SUITE 312, BIRMINGHAM, AL 35235-3430
(205) 702-6602
(888) 206-1336
Mailing address
52 MEDICAL PARK DR E, SUITE 312, BIRMINGHAM, AL 35235-3430
(205) 702-6602
(888) 206-1336

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28332
AL
207QS1201X
Sleep Medicine (Family Medicine) Physician
28332
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1053508200
GROUP NPI
AL
Enumeration date
09/27/2007
Last updated
06/20/2024
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