| Kirsten Kim Md Pa | |
|
870 Dunlawton Ave Ste 311 Port Orange FL 32127-9274 | |
| (386) 310-4807 | |
| (386) 310-7473 |
| Full Name | Kirsten Kim Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 870 Dunlawton Ave Ste 311, Port Orange, Florida |
| Authorized Official Name and Position | Kirsten Kim (OWNER) |
| Authorized Official Contact | 3863104807 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kirsten Kim Md Pa 870 Dunlawton Ave Ste 311 Port Orange FL 32127-9274 Ph: (386) 310-4807 | Kirsten Kim Md Pa 870 Dunlawton Ave Ste 311 Port Orange FL 32127-9274 Ph: (386) 310-4807 |
| NPI Number | 1124699095 |
|---|---|
| Provider Enumeration Date | 07/01/2021 |
| Last Update Date | 12/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124699095 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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