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NPI Profile for Dr BRANDON J KIM in PHOENIX, AZ.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Podiatric Medicine |
213EP1101X | 48 | Podiatry |
| NPI Number | 1962496323 |
|
| Status | Active | |
| Credentials | DPM (Doctor of Podiatric Medicine) | |
| Entity | Individual | |
| Enumeration date | 08/31/2005 | |
| Last updated | 10/02/2007 - About 19 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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BRANDON J KIM
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BRANDON J KIM, DPM