Doctor Name: | DR. PAUL K KIM |
NPI Number: | 1578998373 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.V.M. |
License Number: | VI 04101 |
Business Practice Address: | 199 Main St Ridgefield Park, NJ - 076601620 |
Business Phone Number: | 2018140095 |
Business Fax Number: | 2018140042 |
Mailing Address: | 199 Main St, RIDGEFIELD PARK |
State: | NJ |
Postal Code: | 076601620 |
Phone Number: | 2018140095 |
Fax Number: | 2018140042 |
NPI Enumeration Date: | 09/11/2013 |
NPI Last Update Date: | 09/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174M00000X |
License Number: | VI 04101 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Veterinarian |
Taxonomy Specialization: | |
Taxonomy Definition: | A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery. |