Individual
KENNETH KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
101 THE CITY DR S BLDG 200, ORANGE, CA 92868-3201
(714) 456-5922
Mailing address
13212 MAGNOLIA ST APT B6, GARDEN GROVE, CA 92844-1333
(314) 369-8466
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A129890
CA
Other
Enumeration date
05/02/2012
Last updated
01/18/2022
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