Individual
CANDICE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1338 CHESTNUT ST APT 903, PHILADELPHIA, PA 19107-4509
(206) 650-3109
Mailing address
1338 CHESTNUT ST APT 903, PHILADELPHIA, PA 19107-4509
(206) 650-3109
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
MT232552
PA
Other
Enumeration date
05/06/2019
Last updated
06/28/2025
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