Individual
MR. KENNETH TAIK KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1031 W 34TH ST STE 450, LOS ANGELES, CA 90089-3557
(213) 740-0215
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(213) 740-0215
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
38333
CA
Other
Enumeration date
05/16/2012
Last updated
12/04/2020
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