Individual provider · Type 1 NPI
Steven Park Kim, D.P.M.
Foot & Ankle Surgery Podiatrist · Santa Rosa, CA
NPI number
1306877006
Active
Practice location
4761 Hoen Ave
Santa Rosa, CA 95405-7862
Fax (707) 545-0575
Mailing address
3536 Mendocino Ave, 200
Santa Rosa, CA 95403-3634
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | E4506 (CA) |
Foot & Ankle Surgery Podiatrist: Definition to come...
3 other providers at this address
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About NPI 1306877006
Steven Park Kim, D.P.M.'s National Provider Identifier is 1306877006, issued on Jul 5, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Santa Rosa, CA. The record was last updated on Apr 18, 2012.