Individual
AMY KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
450 SUTTER ST RM 1404, SAN FRANCISCO, CA 94108-4003
(312) 752-8138
Mailing address
1836 OHLONE ST, ALAMEDA, CA 94501-6869
(312) 752-8138
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1161834
CA
Other
Enumeration date
11/24/2019
Last updated
11/24/2019
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