| Doctor Name: | CHOONG R KIM |
| NPI Number: | 1023292950 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | MD00030605 |
| Business Practice Address: | 1615 Delaware St Longview, WA - 986322310 |
| Business Phone Number: | 3606364841 |
| Business Fax Number: | 3606366744 |
| Mailing Address: | Po Box 2819, LONGVIEW |
| State: | WA |
| Postal Code: | 986328796 |
| Phone Number: | 3606364841 |
| Fax Number: | 3606366744 |
| NPI Enumeration Date: | 12/27/2007 |
| NPI Last Update Date: | 12/27/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0001X |
| License Number: | MD00030605 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Radiation Oncology |
| Taxonomy Definition: | A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |