Individual
DR. PATRICK S KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3961 OLD SPARTA RD, COOKEVILLE, TN 38506-5951
(636) 579-8544
Mailing address
3961 OLD SPARTA RD, COOKEVILLE, TN 38506-5951
(636) 579-8544
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2013009611
MO
207L00000X
Anesthesiology Physician
35-132821
OH
207L00000X
Anesthesiology Physician
37638
OK
207L00000X
Anesthesiology Physician
67040
TN
207L00000X
Anesthesiology Physician
Primary
80002-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942463401
—
WI
Enumeration date
07/05/2008
Last updated
05/08/2026
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