Individual
CHRISTINA YOOSUNG KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
8415 GOODWOOD BLVD, SUITE 202, BATON ROUGE, LA 70806
(225) 765-8013
(225) 765-2033
Mailing address
8300 CONSTANTIN BLVD, 2ND FLOOR ADMINISTRATION, BATON ROUGE, LA 70809
(225) 374-1317
(225) 374-1611
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/01/2022
Last updated
04/26/2024
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