Doctor Name: | DR. WALTER H. KIM |
NPI Number: | 1568451649 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | A86185 |
Business Practice Address: | 1532 State St. 2nd Floor Santa Barbara, CA - 93101 |
Business Phone Number: | 8059622126 |
Business Fax Number: | 8059622127 |
Mailing Address: | 1532 State St 2, SANTA BARBARA |
State: | CA |
Postal Code: | 931016509 |
Phone Number: | 8059622126 |
Fax Number: | 8059622127 |
NPI Enumeration Date: | 10/20/2005 |
NPI Last Update Date: | 11/10/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A86185 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |