Mary T Kim, M.D. is a plastic and reconstructive surgery surgery in Shreveport, LA with 27 years of experience. The provider is a surgeon who specializes in plastic and reconstructive surgery. Mary T Kim, M.D. NPI is 1033192828. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
Education
Medical School: TUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1997
The provider's business location address is:
1501 KINGS HWY
SHREVEPORT, LA
ZIP 71103-228
Phone: (318) 675-6154
The NPI 1033192828 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 11/25/2005 and was last updated on 5/18/2009.