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Contact Information

YOON KIM
1303 MABLE AVE
MODESTO, CA95355
 Phone: 408-891-0739
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for YOON KIM · (Female)

NPI Number 1356907331
Status Active
Credentials
Entity Individual
Enumeration date 05/14/2019
Last updated 05/07/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • CA License # PT292427
  • WA License # PT60981356
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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