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Individual

HEESUN NINA KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
705 AUGUSTA DR, BRIDGEVILLE, PA 15017-3437
(952) 595-1100
(612) 294-4903
Mailing address
11995 SINGLETREE LN, STE 500, EDEN PRAIRIE, MN 55344-5347
(952) 595-1301
(612) 294-4903

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
MD423883
PA
2085R0202X
Diagnostic Radiology Physician
Primary
MD423883
PA
2085U0001X
Diagnostic Ultrasound Physician
MD423883
PA

Other

Enumeration date
12/08/2006
Last updated
11/03/2015
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