Organization Name: | YOUNG H. KIM, MD, PC |
NPI Number: | 1033263678 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | YOUNG H KIM (PRESIDENT) |
Mailing Address: | 2545 N Opdyke Rd Suite 104 Auburn Hills |
State: | MI US |
Postal Code: | 483261970 |
Phone Number: | 2483731133 |
Fax Number: | 2483731140 |
NPI Enumeration Date: | 01/22/2007 |
NPI Last Update Date: | 06/24/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 6301009503 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |