Regina Kim

NPI 1104906155 - Family Medicine - 207Q00000X

NPI Details
NPI 1104906155
Gender Female
Enumeration Date 10/16/2006
Last Updated 12/07/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1735 ROUTE 9
SUITE 105 (NEW LOCATION OPENING 3/06)
CLIFTON PARK NY, 12065-2411, US
Phone (518) 383-2366
Fax
Business Location
711 TROY SCHENECTADY RD
SUITE 201
LATHAM NY, 12110-2442, US
Phone
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State New York
License Number 226532
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According to our database, Regina Kim NPI is 1104906155, taxonomy code is 207Q00000X and license number is 226532, license state is located at New York. Regina Kim physically located at 1735 Route 9, Clifton Park NY, 12065-2411. NPI Number Regina Kim has the Individual type.

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1104906155 NPI number is provided on an as is basis without warranty of any kind. 1104906155 is maintained by the National Plan & Provider Enumeration System. The contents of Regina Kim are for informational purposes only.