Dr EDWARD J KIM MD is a male medical professional, specializing in Pathology. He graduated in 1998 from Medical University Of South Carolina College Of Medicine.
ST ALPHONSUS PROFESSIONAL MEDICAL SERVICES LLC
1055 N CURTIS RD
BOISE
ID
837061309
Tel: 2083672152
| Npi | 1396785531 |
| Pac Id | 6709808181 |
| Professional Enrollment Id | I20051229000044 |
| Last Name | KIM |
| First Name | EDWARD |
| Middle Name | J |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | PATHOLOGY |
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| Organization Legal Name | ST ALPHONSUS PROFESSIONAL MEDICAL SERVICES LLC |
| Group Practice Pac Id | 7214849751 |
| Number Of Group Practice Members | 5 |
| Line 1 Street Address | 1055 N CURTIS RD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | BOISE |
| State | ID |
| Zip Code | 837061309 |
| Phone Number | 2083672152 |
| Hospital Affiliation Ccn 1 | 130007 |
| Hospital Affiliation Lbn 1 | SAINT ALPHONSUS REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 380052 |
| Hospital Affiliation Lbn 2 | SAINT ALPHONSUS MEDICAL CENTER - ONTARIO, INC |
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| Professional Accepts Medicare Assignment | Y |
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