Individual provider · Type 1 NPI

So Ra Kim, MD

Student in an Organized Health Care Education/Training Program · Muncie, IN

NPI number 1679700918 Active

Practice location

405 S Morrison Rd, Apt # 99
Muncie, IN 47304-4043

Call (702) 743-0286 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X11014847A (IN)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1679700918

So Ra Kim, MD's National Provider Identifier is 1679700918, issued on Jun 13, 2009. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Muncie, IN. The record was last updated on Jun 15, 2009.