Search › Pennsylvania › 183500000X
Ellen Kim
NPI 1982044806 · on the registry since 2013 · sole proprietor
Practice
- Address
- 164 W Chelten Ave
Philadelphia, PA 19144 - Phone
- (215) 438-5167
- Organisation at this address
- Rite Aid Of Pennsylvania Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Also registered as
- 183500000X
- Licence states on file
- PA, NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-06-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania