person
Steven Park Kim, DPM
Foot & Ankle Surgery Podiatrist in Santa Rosa, California
NPI 1306877006

Steven Park Kim is a Foot & Ankle Surgery Podiatrist based in Santa Rosa, CA and is specialized in Foot & Ankle Surgery. Steven Park Kim practices in Santa Rosa, CA and has the professional credentials of DPM. The NPI Number for Steven Park Kim is 1306877006 and holds a License No. E4506 (California).

The current practice location address for Steven Park Kim is 4761 Hoen Ave, Santa Rosa, CA and can be reached out via phone at 707-545-0570 and via fax at 707-545-0575.

Location: 4761 Hoen Ave, Santa Rosa, CA, 95403-3634
person
Provider Profile Details
NPI Number
1306877006
Provider Name
Steven Park Kim
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
4761 Hoen Ave, Santa Rosa, CA, 95403-3634
Phone Number
707-545-0570
Fax Number
707-545-0575
Provider Enumeration Date
07/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P01011615 01 CA RAILROAD MEDICARE
000E45060 05 CA
institution
Provider Business Practice Location Address Details
Address
4761 Hoen Ave
City
State
Zip
95405-7862
Phone Number
707-545-0570
Fax Number
707-545-0575
person
Provider Business Mailing Address Details
Address
4761 Hoen Ave
City
State
Zip
95405-7862
Phone Number
707-545-0570
Fax Number
707-545-0575
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
E4506 (California)
Definition
Definition to come...
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