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1164914339
KENNETH KIM
JAMAICA, NY
NPI
1164914339
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2018-06-04
Last Update Date
2018-06-04
Business Address
KENNETH KIM
9027 SUTPHIN BLVD
JAMAICA, NY 11435-3647
Phone number: 718-526-8400
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Mailing Address
KENNETH KIM
9027 SUTPHIN BLVD
JAMAICA, NY 11435-3647
Phone number:
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