Doctor Name: | HONG Y KIM |
NPI Number: | 1053418467 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 35043276 |
Business Practice Address: | 1756 Sagamore Rd Northfield, OH - 440671086 |
Business Phone Number: | 3304677131 |
Business Fax Number: | |
Mailing Address: | 30 E Broad St, 11th Fl COLUMBUS |
State: | OH |
Postal Code: | 432153414 |
Phone Number: | 6144669930 |
Fax Number: | 6146449116 |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 35043276 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |