Female

Angela J. Kim DO

Internal Medicine Physician in St Petersburg, FL(View on Map)

Full Name

Angela Jeewon Kim DO

NPI Number

1093337107

NPI Type

Individual Provider

Gender

Female

Enumeration Date

05/12/2020

Specialties

(Taxonomies)

Code

207R00000X

Primary Taxonomy

Yes

Licenses

State

Florida
Michigan

License Number

OS20164
5151014483

Contact
Information

Purpose

Mailing
Location

Address

620 10TH ST N STE 1E
620 10TH ST N STE 1E

City

St Petersburg
St Petersburg

State

FL
FL

Postal Code

33705-1407
33705-1407

Country

US
US

Telephone Number

N/A
(727) 824-3120

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/22/2023

Provider Address

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