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1508495631
MICHELLE KIM
ALBUQUERQUE, NM
NPI
1508495631
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NM MD2023-1118)
Enumeration Date
2020-04-01
Last Update Date
2023-10-05
Business Address
MICHELLE KIM MD
1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106-4930
Phone number: 505-724-6124
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Mailing Address
MICHELLE KIM MD
PO BOX 26666 PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-6770
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