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Individual

DR. KYUNG KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
389 ROUTE 10 EAST, EAST HANOVER, NJ 07936
(973) 781-0800
Mailing address
389 ROUTE 10 EAST, EAST HANOVER, NJ 07936
(973) 781-0800

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
27OA00550300
NJ
152W00000X
Optometrist
Primary
27TO00088800
NJ
152W00000X
Optometrist
TUV005847
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7452004
NJ
Enumeration date
12/05/2006
Last updated
04/15/2009
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