Kirtney So Lim, IDC
Military Health Care Provider, Independent Duty Corpsman in Patuxent River, MD. Individual provider (NPI-1).
NPI number1396213971
StatusActive
Last updated in NPPESMar 27, 2024
Details
- NPI
- 1396213971
- Entity type
- Individual (NPI-1)
- Name
- Mr. Kirtney So Lim
- Credential
- IDC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 13, 2018
- Certification date
- Mar 27, 2024
- Last updated
- Mar 27, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1710I1002X | Military Health Care Provider, Independent Duty Corpsman | – | – | Yes |
Practice location
47149 Buse RdPatuxent River, MD 20670-1540
Phone 619-642-4871
Mailing address
47149 Buse RdPatuxent River, MD 20670-1540
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Other Independent Duty Corpsman providers in Patuxent River, MD
- Elizabeth Ann DavenportNPI 1538362041
- Christopher Demarcus Hawkins, I.D.C.NPI 1003173741
- Shannon Christine Hudson, IDCNPI 1992774640
- Tinsae TekleabNPI 1780274456
All 5 Independent Duty Corpsman providers in Patuxent River · All 69 providers in Patuxent River
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