Sora Kim
Anesthesiology in Lowell, MA. Individual provider (NPI-1).
NPI number1659626141
StatusActive
Last updated in NPPESNov 17, 2016
Details
- NPI
- 1659626141
- Entity type
- Individual (NPI-1)
- Name
- Sora Kim
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 20, 2012
- Last updated
- Nov 17, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | 265642 | MA | Yes |
Practice location
295 Varnum AveLowell, MA 01854-2134
Phone 978-937-6000
Mailing address
11 Seven Springs LnApt 107
Burlington, MA 01803-5142
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