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Individual

JUN KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
820 S AKERS ST STE 220, VISALIA, CA 93277-8307
(559) 733-3346
(559) 733-5059
Mailing address
820 S AKERS ST STE 220, VISALIA, CA 93277-8307
(559) 733-3346
(559) 733-5059

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
PG162868
OR
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
15480
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
15480
CALIFORNIA OSTEOPATHIC LICENSE
CA
Enumeration date
06/13/2013
Last updated
09/12/2023
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