Individual
JOHN S KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(617) 665-1000
Mailing address
100 STOCKTON ST, #130, CHELSEA, MA 02150-2232
(714) 356-2063
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
267485
MA
208M00000X
Hospitalist Physician
267485
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2013
Last updated
06/29/2016
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