Individual
DANIEL KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
861 E ALLEGHENY AVE, PHILADELPHIA, PA 19134-2401
(215) 302-3600
Mailing address
4417 N 6TH ST, PHILADELPHIA, PA 19140-2319
(215) 302-3600
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD471453
PA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/10/2017
Last updated
01/11/2021
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