Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY T KIM, M.D.
Active Sole ProprietorMARY T KIM, M.D. is a Plastic and Reconstructive Surgery healthcare provider located in SHREVEPORT, Louisiana. NPI 1033192828 is currently active in the NPPES registry. Verify at CMS.
Plastic and Reconstructive Surgery · SHREVEPORT, LA
Registration Details
- NPI Number
- 1033192828
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 25, 2005 (20.680501033211 yrs)
- Last Updated
- May 18, 2009
- License
-
MD200563 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1501 KINGS HWYSHREVEPORT, LA, 711034228Browse LA providers · Browse ZIP 71103
- Phone
- 3186756154
- Primary Specialty
-
Plastic and Reconstructive Surgery
2086S0122X
Other Plastic and Reconstructive Surgery Providers in SHREVEPORT, LA
| Name | Credential | NPI |
|---|---|---|
| DR. DANIEL R KNIGHT | MD | 1861496556 |
| HOLLY CASEY WALL | MD, FACS | 1245229624 |
| SIMEON WALL JR. | MD, FACS | 1275522682 |
| STEPHEN JON RAMEY | M.D. | 1679555072 |
| FORREST P WALL | M.D. | 1699758474 |
| JOHN PETER VALIULIS | M.D. | 1346263985 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.