| Doctor Name: | HYEONGDO KIM |
| NPI Number: | 1477837383 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 5101019615 |
| Business Practice Address: | 13001 E 17th Pl University Of Colorado School Of Medicine Gme Aurora, CO - 800452570 |
| Business Phone Number: | 3037249593 |
| Business Fax Number: | |
| Mailing Address: | 13001 E 17th Pl, University Of Colorado School Of Medicine Gme AURORA |
| State: | CO |
| Postal Code: | 800452570 |
| Phone Number: | 3037249593 |
| Fax Number: | |
| NPI Enumeration Date: | 10/11/2011 |
| NPI Last Update Date: | 04/07/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 5101019615 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |