| Doctor Name: | DR. ILKYOON KIM |
| NPI Number: | 1154434728 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | A34081 |
| Business Practice Address: | 15666 18th Avenue Clearlake, CA - 95422 |
| Business Phone Number: | 7079944210 |
| Business Fax Number: | 7079940839 |
| Mailing Address: | Po Box 5326, CLEARLAKE |
| State: | CA |
| Postal Code: | 954225326 |
| Phone Number: | 7079944210 |
| Fax Number: | 7079940839 |
| NPI Enumeration Date: | 08/16/2006 |
| NPI Last Update Date: | 06/30/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RC0000X |
| License Number: | A34081 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Cardiovascular Disease |
| Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |