person
Mary T Kim, MD
Plastic and Reconstructive Surgery Physician in Shreveport, Louisiana
NPI 1033192828

Mary T Kim is a Plastic and Reconstructive Surgery Physician based in Shreveport, LA and is specialized in Plastic and Reconstructive Surgery. Mary T Kim practices in Shreveport, LA and has the professional credentials of MD. The NPI Number for Mary T Kim is 1033192828 and holds a License No. MD200563 (Louisiana).

The current practice location address for Mary T Kim is 1501 Kings Hwy, Shreveport, LA and can be reached out via phone at 318-675-6154.

Location: 1501 Kings Hwy, Shreveport, LA, 71103-4228
person
Provider Profile Details
NPI Number
1033192828
Provider Name
Mary T Kim
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1501 Kings Hwy, Shreveport, LA, 71103-4228
Phone Number
318-675-6154
Fax Number
Provider Enumeration Date
11/25/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1581518 05 LA
institution
Provider Business Practice Location Address Details
Address
1501 Kings Hwy
City
State
Zip
71103-4228
Phone Number
318-675-6154
Fax Number
person
Provider Business Mailing Address Details
Address
1501 Kings Hwy
City
State
Zip
71103-4228
Phone Number
318-675-6154
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
License No.
MD200563 (Louisiana)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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