Individual
ELLEN H KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6431 SACKETT ST, PHILADELPHIA, PA 19149
(267) 448-4908
(267) 297-3950
Mailing address
6431 SACKETT ST, PHILADELPHIA, PA 19149
(267) 448-4908
(267) 297-3950
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD430049
PA
Other
Enumeration date
12/14/2006
Last updated
08/09/2023
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