Individual
MOO K. KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
112 JACKSON ST, SUITE 2, METHUEN, MA 01844-5045
(978) 794-4800
(978) 794-4801
Mailing address
112 JACKSON ST, SUITE 2, METHUEN, MA 01844-5045
(978) 794-4800
(978) 794-4801
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
60417
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110046074
—
MA
Enumeration date
07/11/2006
Last updated
07/19/2010
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