Individual
DR. GREGORY KYONGHOON KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
245 N 15TH ST # MS 310, PHILADELPHIA, PA 19102-1101
(215) 762-7922
Mailing address
245 N 15TH ST # MS 310, PHILADELPHIA, PA 19102-1101
(215) 762-7922
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MT199133
PA
Other
Enumeration date
07/21/2011
Last updated
07/21/2011
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