Chul H. Kim, M.D.
Pediatrics in San Carlos, AZ. Individual provider (NPI-1).
NPI number1114036282
StatusActive
Last updated in NPPESNov 6, 2013
Details
- NPI
- 1114036282
- Entity type
- Individual (NPI-1)
- Name
- Chul H. Kim
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 30, 2006
- Last updated
- Nov 6, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | D18717 | MD | Yes |
Practice location
223 Cibeque Circle RoadSan Carlos, AZ 85550
Phone 928-475-7219 · Fax 928-475-7370
Mailing address
Po Box 208San Carlos, AZ 85550-0208
Phone 928-475-7219 · Fax 928-475-7370
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