Keun-Suh Kim
General Practice in Colton, CA. Individual provider (NPI-1).
NPI number1669925285
StatusActive
Last updated in NPPESAug 1, 2016
Details
- NPI
- 1669925285
- Entity type
- Individual (NPI-1)
- Name
- Keun-Suh Kim
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 1, 2016
- Last updated
- Aug 1, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | A129431 | CA | Yes |
Practice location
2141 Hill CtColton, CA 92324-9512
Phone 909-501-4730
Mailing address
2141 Hill CtColton, CA 92324-9512
Phone 909-501-4730
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All 9 General Practice Physician providers in Colton · All 2,912 providers in Colton
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