Individual
PETER S KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2025 MORSE AVE, SACRAMENTO, CA 95825-2115
(916) 973-5282
Mailing address
1855 S MAIN ST, SUITE A, HEART & VASCULAR CENTER, GOSHEN, IN 46526-4852
(574) 533-7476
(574) 533-7145
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
01067672
IN
207RC0000X
Cardiovascular Disease Physician
4301079733
MI
207RC0000X
Cardiovascular Disease Physician
Primary
A108581
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200972580
—
IN
Enumeration date
05/10/2007
Last updated
01/04/2022
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