Individual
KWANGHEE KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3300 PROVIDENCE DR, TOWER B, SUITE 314, ANCHORAGE, AK 99508
(907) 212-3420
Mailing address
PO BOX 4105, PORTLAND, OR 97208-4105
(866) 907-1068
(425) 917-9141
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
11726
ND
207R00000X
Internal Medicine Physician
258429
NY
207R00000X
Internal Medicine Physician
Primary
MEDS7869
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1597761
—
AK
Enumeration date
01/11/2010
Last updated
07/30/2018
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