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Dr. Kristie Y Kim

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NPI Number Detailed Information

Provider Information:

Name: Dr. Kristie Y Kim
Gender: F
Provider License Number If Given:

NPI Information:

NPI: 1326041559
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 5/23/2005

Last Update Date: 12/28/2012

Provider Business Mailing Address:

Address: PO BOX 8500-8735
Philadelphia, PA 19178
Phone Number: 2154567000
Fax Number: 2152542599

Provider Business Practice Location Address:

Address: 60 TOWNSHIP LINE RD
Elkins Park, PA 19027
Phone Number: 2156636677
Fax Number: 2156636265

Provider Taxonomy:

Primary: 171100000X
Secondary (if any): 208100000X
State: PA

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