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Individual

DR. DAVID D KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
11055 LITTLE PATUXENT PARKWAY, SUITE 205, COLUMBIA, MD 21044
(410) 740-0789
(410) 740-7024
Mailing address
1111 BENFIELD BLVD, SUITE 200, MILLERSVILLE, MD 21108
(410) 729-5100
(410) 729-5156

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
237369
NY
207RC0000X
Cardiovascular Disease Physician
Primary
D66910
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
414745600
MD
Enumeration date
08/01/2006
Last updated
09/07/2012
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