Whalio Doctors

NPI 1154361434

Charles S. Kim, MD

Practitioner Physical Medicine & Rehabilitation Physician Saint Paul, MN

Practice location

Address
631 Cleveland Ave S STE 5, Saint Paul, MN 55116-1244
Phone
(984) 377-3422
Mailing address
PO Box 11839, Saint Paul, MN 55111-0839

Registered specialties (3)

Physical Medicine & Rehabilitation Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 57253 (MN)
Specialist
Other Service Providers Taxonomy 174400000X Licence 41236 (TN)
Physical Medicine & Rehabilitation Physician
Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 41236 (TN)

Registry record

NPI
1154361434
Entity type
Individual
Sex (as registered)
Male
NPI issued
7 Jun 2006
Record last updated
17 Mar 2018

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.