Bonnie B Kim, MD | |
4509 Gravel Pike, Green Lane, PA 18054-2215 | |
(610) 348-0402 | |
Not Available |
Full Name | Bonnie B Kim |
---|---|
Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 4509 Gravel Pike, Green Lane, Pennsylvania |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023111994 | NPI | - | NPPES |
000890431 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | MD037535-Y (Pennsylvania) | Primary |
Mailing Address | Practice Location Address |
---|---|
Bonnie B Kim, MD 4509 Gravel Pike, Green Lane, PA 18054-2215 Ph: (610) 348-0402 | Bonnie B Kim, MD 4509 Gravel Pike, Green Lane, PA 18054-2215 Ph: (610) 348-0402 |
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