MIRIAM GRACE KIM

INDIANAPOLIS, IN
NPI1891052171
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2080P0207X Pediatrics, Pediatric Hematology-Oncology
(Licence: IN  02005955A)
Additional Taxonomies2080P0207X Pediatrics, Pediatric Hematology-Oncology
(Licence: WI  63854-21)
Enumeration Date2012-04-11
Last Update Date2020-04-08
Business Address
MIRIAM GRACE KIM D.O.
705 RILEY HOSPITAL DR ROC 4340
INDIANAPOLIS, IN 46202-5109
Phone number: 317-944-2143
Mailing Address
MIRIAM GRACE KIM D.O.
PO BOX 1026
INDIANAPOLIS, IN 46206-1026
Phone number: 317-777-6435