Most Relevant Information
Provider Data
| NPI Number: | 1003454802 |
| Provider Name: | CHAN KYO KIM PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 810250 |
Most Important Dates
| Enumeration Date: | 12/12/2019 |
| Last Updated: | 12/12/2019 |
Provider Practice Location
1520 BRUNDAGE LN
BAKERSFIELD
CA
933042949
Practice Location Phone/Fax
| Phone: | 6613274265 |
| Fax: |
Provider Mailing Location
11325 PARK SQUARE DR APT M208
BAKERSFIELD
CA
933118875
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |