NPI 1396213971

Kirtney So Lim, IDC

Practitioner Independent Duty Corpsman Patuxent River, MD

Practice location

Address: 47149 Buse Rd, Patuxent River, MD 20670-1540
Phone: (619) 642-4871

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

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Registry record

NPI: 1396213971
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Nov 2018
Record last updated: 27 Mar 2024

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.