Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0216X | Pediatric Rheumatologist | D0072515 | MD |
N | 2080P0216X | Pediatric Rheumatologist | MD039704 | DC |
NPI | 1356501464 |
---|---|
Provider Name | Dr. Hanna Kim |
First Address | Washington, DC 20010-2916 |
Second Address | Bethesda, MD 20892-2916 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2008 |
Last Update Date | 20/04/2020 |