Individual
DR. KAEJIN KIM
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
217 BROADWAY, HANOVER, PA 17331-2503
(717) 632-8944
(717) 632-1224
Mailing address
217 BROADWAY, HANOVER, PA 17331-2503
(717) 632-8944
(717) 632-1224
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD058104-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016084540002
—
PA
Enumeration date
03/14/2006
Last updated
07/08/2007
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