Chan Kyo Kim, PharmD
Pharmacist in Bakersfield, CA. Individual provider (NPI-1).
NPI number1003454802
StatusActive
Last updated in NPPESDec 12, 2019
Details
- NPI
- 1003454802
- Entity type
- Individual (NPI-1)
- Name
- Chan Kyo Kim
- Credential
- PharmD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 12, 2019
- Certification date
- Dec 12, 2019
- Last updated
- Dec 12, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 810250 | CA | Yes |
Practice location
1520 Brundage LnBakersfield, CA 93304-2949
Phone 661-327-4265
Mailing address
11325 Park Square Dr Apt M208Bakersfield, CA 93311-8875
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