Elizabeth Kim
Physician Assistant in Cleveland, OH. Individual provider (NPI-1).
NPI number1023796331
StatusActive
Last updated in NPPESNov 12, 2024
Details
- NPI
- 1023796331
- Entity type
- Individual (NPI-1)
- Name
- Elizabeth Kim
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 6, 2023
- Certification date
- Nov 12, 2024
- Last updated
- Nov 12, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 50.009049RX | OH | Yes |
Practice location
10900 Euclid AveCleveland, OH 44106-1712
Phone 216-368-0575
Mailing address
10900 Euclid AveCleveland, OH 44106-1712
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