DR. Sungwan Kim, PHD, ATC
NPI #1306474978 in Waltham, Massachusetts
Provider Information
- NPI Number
- 1306474978
- Entity Type
- Individual
- Name
- DR. Sungwan Kim, PHD, ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- PHD, ATC
- Enumeration Date
- Mar 30, 2020
- Last Updated
- Jun 1, 2025
Practice Location
- Address
- 80 HOPE AVE APT 317
- City
- Waltham
- State
- Massachusetts
- ZIP Code
- 02453-2745
- Phone
- (774) 257-3686
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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