Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | 232594 | NY |
N | 2080P0205X | Pediatric Endocrinologist | N8022 | TX |
NPI | 1518003771 |
---|---|
Provider Name | Toni Jeanne Kim |
First Address | Atlanta, GA 30305-2918 |
Second Address | Sandy Springs, GA 30350-2516 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/01/2007 |
Last Update Date | 19/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03135348 | (05) | NY |