Individual
GINA H KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2121 E HARMONY RD, #190, FORT COLLINS, CO 80528-3400
(970) 224-2020
Mailing address
2121 E HARMONY RD, #190, FORT COLLINS, CO 80528-3400
(970) 224-2020
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
41810
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00622249
—
CO
Enumeration date
10/27/2006
Last updated
05/26/2010
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