Individual
PHILIP S KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
931 E HAVERFORD RD STE 202, BRYN MAWR, PA 19010-3838
(844) 365-7246
(844) 516-0080
Mailing address
291 CARTER DR STE A, MIDDLETOWN, DE 19709-5845
(844) 365-7246
(844) 524-1767
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD060379L
PA
207LP2900X
Pain Medicine (Anesthesiology) Physician
C1-0006593
DE
208VP0000X
Pain Medicine Physician
C1-0006593
DE
208VP0000X
Pain Medicine Physician
Primary
MD060379L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001613641
—
PA
05
—
1000017122
—
DE
Enumeration date
09/16/2005
Last updated
04/19/2023
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