Individual
JOHN J KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
980 W IRONWOOD DR, SUITE 304, COEUR D ALENE, ID 83814-2668
(208) 765-4888
Mailing address
980 W IRONWOOD DR STE 201, COEUR D ALENE, ID 83814-2668
(208) 765-4888
(208) 667-8618
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
A74177
CA
207V00000X
Obstetrics & Gynecology Physician
Primary
M-11024
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891717088
—
ID
Enumeration date
07/24/2006
Last updated
05/14/2020
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