Individual
KELVIN O LIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2312 S 6TH ST, SUITE F256 / 2B WEST, MINNEAPOLIS, MN 55454-1336
(612) 273-8700
Mailing address
420 DELAWARE ST SE, UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55455-0341
(612) 273-8700
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
43991
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1029914
PREFERRED ONE
MN
05
—
10387
—
ND
01
—
15-67637
MEDICA-CHOICE
MN
01
—
1565107
ARAZ
MN
01
—
167402
U CARE
MN
01
—
186A0LI
BCBS
MN
05
—
7777470
—
SD
01
—
HP34577
HEALTH PARTNERS
MN
Enumeration date
10/19/2006
Last updated
07/09/2007
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