Individual
DR. HENRY J KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
58 ROY BEALL DRIVE, LUVERNE, AL 36049-7329
(334) 335-1212
(334) 335-1217
Mailing address
101 HOSPITAL CIRCLE, LUVERNE, AL 36049-7329
(334) 335-1212
(334) 335-1217
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
25MA02405700
NJ
2080I0007X
Pediatric Clinical & Laboratory Immunology Physician
Primary
MD.30559
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0467103
—
NJ
Enumeration date
04/03/2006
Last updated
04/18/2011
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