| Doctor Name: | KI-BONG UM |
| NPI Number: | 1336195692 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 25751 |
| Business Practice Address: | 501 N Main St Robersonville, NC - 278719567 |
| Business Phone Number: | 2527954192 |
| Business Fax Number: | 2527954739 |
| Mailing Address: | 501 N Main St, Po Box 625 ROBERSONVILLE |
| State: | NC |
| Postal Code: | 278719567 |
| Phone Number: | 2527954192 |
| Fax Number: | 2527954739 |
| NPI Enumeration Date: | 05/26/2006 |
| NPI Last Update Date: | 11/30/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 25751 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |