| Doctor Name: | DR. YOUNG WOO KIM |
| NPI Number: | 1144218108 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | MD- 13504 |
| Business Practice Address: | 1 Jarrett White Rd Department Of Radiology Tripler Army Medical Center, HI - 968595001 |
| Business Phone Number: | 2105778501 |
| Business Fax Number: | |
| Mailing Address: | 1296 Kapiolani Blvd, Apt 3005 HONOLULU |
| State: | HI |
| Postal Code: | 968142896 |
| Phone Number: | 2105778501 |
| Fax Number: | |
| NPI Enumeration Date: | 10/12/2005 |
| NPI Last Update Date: | 07/20/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MD- 13504 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |