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Dr. So Ra Kim, MD
Student in an Organized Health Care Education/Training Program in Muncie, Indiana
NPI 1679700918

So Ra Kim is a Student in an Organized Health Care Education/Training Program based in Muncie, IN. So Ra Kim practices in Muncie, IN and has the professional credentials of MD. The NPI Number for So Ra Kim is 1679700918 and holds a License No. 11014847A (Indiana).

The current practice location address for So Ra Kim is 405 S Morrison Rd, Muncie, IN and can be reached out via phone at 702-743-0286.

Location: 405 S Morrison Rd, Muncie, IN, 47304-4043
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679700918
Provider Name
So Ra Kim
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
405 S Morrison Rd, Muncie, IN, 47304-4043
Phone Number
702-743-0286
Fax Number
Provider Enumeration Date
06/13/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
405 S Morrison Rd
City
Muncie
State
Indiana
Zip
47304-4043
Phone Number
702-743-0286
Fax Number
person
Provider Business Mailing Address Details
Address
405 S Morrison Rd
City
Muncie
State
Indiana
Zip
47304-4043
Phone Number
702-743-0286
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.
11014847A (Indiana)
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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