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Gary Kim, LIEUTENANT
Military Health Care Provider in Monterey, California
NPI 1841531761

Gary Kim is a Military Health Care Provider based in Monterey, CA. Gary Kim practices in Monterey, CA and has the professional credentials of LIEUTENANT. The NPI Number for Gary Kim is 1841531761 and holds a License No. (California).

The current practice location address for Gary Kim is 201 Glenwood Cir Apt 33B, Monterey, CA and can be reached out via phone at 310-408-0727.

Location: 201 Glenwood Cir Apt 33B, Monterey, CA, 93940-6738
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841531761
Provider Name
Gary Kim
Credential
LIEUTENANT
Provider Entity Type
Individual
Gender
Male
Address
201 Glenwood Cir Apt 33B, Monterey, CA, 93940-6738
Phone Number
310-408-0727
Fax Number
Provider Enumeration Date
03/04/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
201 Glenwood Cir Apt 33B
City
Monterey
State
California
Zip
93940-6738
Phone Number
310-408-0727
Fax Number
person
Provider Business Mailing Address Details
Address
201 Glenwood Cir Apt 33B
City
Monterey
State
California
Zip
93940-6738
Phone Number
310-408-0727
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
(California)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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