Individual
KRISTINE NAYEON KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(781) 718-5839
Mailing address
392 CENTRAL PARK W APT 20V, NEW YORK, NY 10025-5878
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
323486
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/21/2018
Last updated
10/12/2023
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