Provider Demographics
NPI:1023301801
Name:KIM, EDWARD M (MD)
Entity type:Individual
Prefix:
First Name:EDWARD
Middle Name:M
Last Name:KIM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:833 ST VINCENT'S DRIVE
Mailing Address - Street 2:SUITE 300 POB III
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35205-1606
Mailing Address - Country:US
Mailing Address - Phone:205-939-4500
Mailing Address - Fax:205-939-4519
Practice Address - Street 1:833 SAINT VINCENTS DR
Practice Address - Street 2:SUITE 300 POB III
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35205-1606
Practice Address - Country:US
Practice Address - Phone:205-939-4500
Practice Address - Fax:205-939-4519
Is Sole Proprietor?:No
Enumeration Date:2011-05-26
Last Update Date:2021-03-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ALMD32579207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine