Individual
KYU WON KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
6130 JOHNSTON ST, LAFAYETTE, LA 70503-5619
(337) 234-0197
Mailing address
6130 JOHNSTON ST, LAFAYETTE, LA 70503-5619
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST021557
LA
Other
Enumeration date
05/24/2016
Last updated
09/06/2016
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