Individual
DR. BRANDON J KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1002 E MCDOWELL RD, SUITE A, PHOENIX, AZ 85006-2625
(602) 262-2663
(602) 258-3008
Mailing address
1002 E MCDOWELL RD, SUITE A, PHOENIX, AZ 85006-2625
(602) 262-2663
(602) 258-3008
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
00571
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
797897
—
AZ
01
—
Z84078
MEDICARE ID-PIN
AZ
Enumeration date
08/31/2005
Last updated
10/02/2007
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