Individual provider · Type 1 NPI
Heesung Sean Kim, PA-C
Medical Physician Assistant · Salisbury, MD
NPI number
1720214919
Active
Practice location
106 Pine Bluff Rd Ste 11
Salisbury, MD 21801-7161
Fax (410) 742-2589
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | C0003939 (MD) |
Medical Physician Assistant: Definition to come...
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About NPI 1720214919
Heesung Sean Kim, PA-C's National Provider Identifier is 1720214919, issued on Jun 2, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Salisbury, MD. The record was last updated on Jun 2, 2009.