Provider Information for 1598282469
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Dr. MINSU KIM PhD
Sex: Male
NPI: 1598282469
Last Updated: 2023-08-04
Certification Date: 2023-08-04
Certification Date: 2023-08-04
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1598282469 | ||||||||
| Enumeration Date | 2017-08-23 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 16, JUKBAEK 4-RO SOSABEUL THE SHARP MASTERVIEW, 101-DONG 2504-HO PYEONGTAEK-SI, GYEONGGI-DO 17863 Korea, Republic of Phone: | Fax: | ||||||||
| Primary Practice Address | SHINJANG-DONG 325-70 MIRAE TOWER, 2ND FLOOR, INTEGRATED COUNSELING SERVICES PYEONGTAEK, GYEONGGI-DO 17758 Korea, Republic of Phone: 031-662-7571 | Fax:031-662-7572 | ||||||||
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