MARY T KIM

SHREVEPORT, LA
NPI1033192828
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2086S0122X Surgery Plastic and Reconstructive Surgery
(Licence: LA  MD200563)
Enumeration Date2005-11-25
Last Update Date2009-05-18
Business Address
MARY T KIM M.D.
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-675-6154
Mailing Address
MARY T KIM M.D.
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-675-6154
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