Individual
CADENCE A KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1342 COTTMAN AVE, PHILADELPHIA, PA 19111-3729
(215) 745-1612
(215) 745-8319
Mailing address
PO BOX 8500-6335, PHILADELPHIA, PA 19178-6335
(215) 745-1612
(215) 745-8319
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD060440L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016316400002
—
PA
01
—
0120797000
KEYSTONE IBC
PA
01
—
30106258
KEYSTONE MERCY
PA
01
—
8317350
AETNA
PA
01
—
890505
HIGHMARK BLUE SHIELD
PA
01
—
P01043225
RAILROAD MEDICARE
PA
Enumeration date
05/31/2005
Last updated
11/01/2012
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