CHAN WOO KIM

PROVIDENCE, RI
NPI1336879501
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: RI  LP05521)
Enumeration Date2022-06-12
Last Update Date2022-06-12
Business Address
CHAN WOO KIM MD
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-444-4741
Mailing Address
CHAN WOO KIM MD
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-444-4741
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