Individual
AILEEN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
30077 BUSINESS CENTER DR, CHARLOTTE HALL, MD 20622-3101
(301) 884-2508
(301) 884-2476
Mailing address
PO BOX 418837, BOSTON, MA 02241-2231
(888) 846-5527
(607) 324-7615
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
D0087833
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/05/2014
Last updated
07/18/2019
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