Individual
KATIE LAUREN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4810 WHITESPORT CIR SW STE 110, HUNTSVILLE, AL 35801-7439
(205) 977-9876
Mailing address
1940 STONEGATE DR STE 130, VESTAVIA HLS, AL 35242-2541
(205) 977-9876
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA.1575
AL
Other
Enumeration date
06/16/2020
Last updated
06/16/2020
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