Provider Demographics
NPI:1922139898
Name:KIM, EDWARD H (MD)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:H
Last Name:KIM
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:513 PARNASSUS AVE
Mailing Address - Street 2:S-320, BOX 0104
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143-2205
Mailing Address - Country:US
Mailing Address - Phone:415-885-3606
Mailing Address - Fax:415-885-3886
Practice Address - Street 1:2330 POST ST
Practice Address - Street 2:SUITE 260
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-0001
Practice Address - Country:US
Practice Address - Phone:415-885-3606
Practice Address - Fax:415-885-3886
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-09
Last Update Date:2018-12-27
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Provider Licenses
StateLicense IDTaxonomies
CAA79149208C00000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery