Individual
DR. BRIAN K. KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3840 BROADWAY, FORT MYERS, FL 33901-8108
(239) 275-6400
(239) 275-0178
Mailing address
4371 VERONICA S SHOEMAKER BLVD, FORT MYERS, FL 33916-2216
(239) 274-8200
(239) 278-3350
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
ME66697
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
375598300
—
FL
01
—
830004833
RR MEDICARE
FL
Enumeration date
11/04/2005
Last updated
06/10/2010
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