Individual
KIM TRAN LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3401 CIVIC CENTER BLVD, DIVISION OF PEDIATRIC HOSPITAL MEDICINE, PHILADELPHIA, PA 19104
(215) 327-4414
Mailing address
3401 CIVIC CENTER BLVD, DIVISION OF PEDIATRIC HOSPITAL MEDICINE, PHILADELPHIA, PA 19104
(215) 327-4414
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
OS019957
PA
208000000X
Pediatrics Physician
Primary
OT018884
PA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
07/05/2016
Last updated
07/14/2021
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