Individual
SANFORD J KIM
Active
Individual
SANFORD J KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35151
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3873900
—
TN
01
—
4127210
BCBS
TN
01
—
4141591
BLUE CROSS
TN
01
—
6404830900
KENTUCKY MEDICAID
KY
01
—
7694346
AETNA
—
01
—
P00374481
RAILROAD MEDICARE
—
Enumeration date
09/29/2005
Last updated
01/04/2022
Update your record
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