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Dr. Timothy Bansuk Kim, DO,MPH,MS
Student in an Organized Health Care Education/Training Program in Santa Rosa, California
NPI 1639829435

Timothy Bansuk Kim is a Student in an Organized Health Care Education/Training Program based in Santa Rosa, CA. Timothy Bansuk Kim practices in Santa Rosa, CA and has the professional credentials of DO,MPH,MS. The NPI Number for Timothy Bansuk Kim is 1639829435 and holds a License No. (California).

The current practice location address for Timothy Bansuk Kim is 401 Bicentennial Way, Santa Rosa, CA and can be reached out via phone at 707-393-4000.

Location: 401 Bicentennial Way, Santa Rosa, CA, 95403-2149
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639829435
Provider Name
Timothy Bansuk Kim
Credential
DO,MPH,MS
Provider Entity Type
Individual
Gender
Male
Address
401 Bicentennial Way, Santa Rosa, CA, 95403-2149
Phone Number
707-393-4000
Fax Number
Provider Enumeration Date
03/24/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
401 Bicentennial Way
City
Santa Rosa
State
California
Zip
95403-2149
Phone Number
707-393-4000
Fax Number
person
Provider Business Mailing Address Details
Address
401 Bicentennial Way
City
Santa Rosa
State
California
Zip
95403-2149
Phone Number
707-393-4000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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