Individual
KENNETH KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
17100 EUCLID ST., PICU, FOUNTAIN VALLEY, CA 92708
(714) 966-7253
(714) 966-3354
Mailing address
17100 EUCLID ST., PICU, FOUNTAIN VALLEY, CA 92708
(714) 966-7253
(714) 966-3354
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
G077876
CA
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
18733
CA
Other
Enumeration date
06/13/2005
Last updated
08/19/2025
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