Individual
HYEON JIN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
716 RIDGE RD, MUNSTER, IN 46321-1612
(219) 836-7978
Mailing address
716 RIDGE RD, MUNSTER, IN 46321-1612
(219) 836-7978
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.298724
IL
183500000X
Pharmacist
26026245A
IN
Other
Enumeration date
05/14/2016
Last updated
05/14/2016
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