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Individual

CADENCE A KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

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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