Most Relevant Information
Provider Data
| NPI Number: | 1003045097 |
| Provider Name: | ELIJAH KIM M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207RC0200X |
| Specialty: | Internal Medicine |
| License Number: | ME152670 |
Most Important Dates
| Enumeration Date: | 07/10/2009 |
| Last Updated: | 09/21/2022 |
Provider Practice Location
1324 LAKELAND HILLS BLVD
LAKELAND
FL
338054543
Practice Location Phone/Fax
| Phone: | 8636871321 |
| Fax: | 8632841786 |
Provider Mailing Location
1324 LAKELAND HILLS BLVD
LAKELAND
FL
338054543
Provider Mailing Phone/Fax
| Phone: | 8636871100 |
| Fax: | 8636306528 |