Doctor Name: | DR. YONG H KIM |
NPI Number: | 1003120973 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PSY.D. |
License Number: | |
Business Practice Address: | 13004 Willowcrest Ln Oklahoma City, OK - 731701144 |
Business Phone Number: | 4053657556 |
Business Fax Number: | |
Mailing Address: | 13004 Willowcrest Ln, OKLAHOMA CITY |
State: | OK |
Postal Code: | 731701144 |
Phone Number: | 4053657556 |
Fax Number: | |
NPI Enumeration Date: | 08/03/2010 |
NPI Last Update Date: | 08/13/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |