Individual
DR. OWEN C KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
465 W PUTNAM AVE, PORTERVILLE, CA 93257-3320
(559) 788-6175
(559) 782-7647
Mailing address
465 W PUTNAM AVE, PORTERVILLE, CA 93257-3320
(559) 788-6175
(559) 782-7647
Taxonomy
Speciality
Code
Description
License number
State
2085R0203X
Therapeutic Radiology Physician
Primary
G048257
CA
Other
Enumeration date
10/20/2006
Last updated
07/08/2007
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