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Individual

CAROLYN I KIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
525 N WOLFE ST, BALTIMORE, MD 21205-2110
(408) 784-9884
Mailing address
1118 ROANOKE PL, LA CANADA FLINTRIDGE, CA 91011-3954

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R243600
MD

Other

Enumeration date
07/15/2024
Last updated
07/15/2024
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