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1710509054
KENNETH C KIM
SPRINGFIELD, IL
NPI
1710509054
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IL 125075992)
Enumeration Date
2020-05-09
Last Update Date
2020-05-09
Business Address
KENNETH C KIM DO
701 N 1ST ST
SPRINGFIELD, IL 62702-3757
Phone number: 217-545-8000
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Mailing Address
KENNETH C KIM DO
PO BOX 19636
SPRINGFIELD, IL 62794-9636
Phone number: 217-545-8000
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