Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 35128009 | OH |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 35128009 | OH |
NPI | 1669775631 |
---|---|
Provider Name | Dr. Leslie Rhan Kim |
First Address | Columbus, OH 43202-1559 |
Second Address | Columbus, OH 43212-3154 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/12/2010 |
Last Update Date | 17/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0172777 | (05) | OH |