| Doctor Name: | DR. BYUNG-OH KIM |
| NPI Number: | 1043377823 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | D0018799 |
| Business Practice Address: | 5070 Dorsey Hall Dr Ste 101 Ellicott City, MD - 210427711 |
| Business Phone Number: | 4108849293 |
| Business Fax Number: | 4108846933 |
| Mailing Address: | 6132 Wooded Run Dr, COLUMBIA |
| State: | MD |
| Postal Code: | 210443800 |
| Phone Number: | 4107306518 |
| Fax Number: | 4108846933 |
| NPI Enumeration Date: | 01/02/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | D0018799 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |