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1497184030
KANG KIM
PORTSMOUTH, VA
NPI
1497184030
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2013-11-04
Last Update Date
2024-01-16
Business Address
KANG KIM
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708-2111
Phone number: 301-535-1541
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Mailing Address
KANG KIM
USS GEORGE H W BUSH CVN77
FPO, AE 09513
Phone number: 301-535-1541
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