NPI 1033192828

Mary T Kim, MD

Practitioner Plastic and Reconstructive Surgery Physician Shreveport, LA

Practice location

Address: 1501 Kings Hwy, Shreveport, LA 71103-4228
Phone: (318) 675-6154

Registered specialties

Plastic and Reconstructive Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2086S0122X Licence MD200563 (LA)

Other Surgery providers in Louisiana →

Registry record

NPI: 1033192828
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Nov 2005
Record last updated: 18 May 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.