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Individual

DR. JACQUELINE KYUNG-ME KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AU.D

Contact information

Practice address
1000 JOHNSON FY RD NE, ATLANTA, GA 30342-1611
(404) 851-8000
Mailing address
6850 PEACHTREE DUNWOODY RD APT 1005, ATLANTA, GA 30328-6748
(470) 331-7297

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AUD004331
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AUD004331
GEORGIA BOARD OF AUDIOLOGY
GA
Enumeration date
06/09/2022
Last updated
06/09/2022
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