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Individual

MS. MINA SOON KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2700 CLAY EDWARDS DR STE 240, NORTH KANSAS CITY, MO 64116-3254
(816) 691-2021
(816) 346-7690
Mailing address
9411 N OAK TRFY STE LL1, KANSAS CITY, MO 64155-2262
(816) 691-1655
(816) 436-2743

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2023011513
MO
207L00000X
Anesthesiology Physician
Primary
C1-0011319
DE
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/28/2011
Last updated
04/26/2023
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