| Doctor Name: | DR. YOUNG KIL KIM |
| NPI Number: | 1790755817 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 34861 |
| Business Practice Address: | 19366 Allen Rd Brownstown Twp, MI - 481836809 |
| Business Phone Number: | 7344790949 |
| Business Fax Number: | 7344791637 |
| Mailing Address: | 3823 Spanish Oaks Dr, WEST BLOOMFIELD |
| State: | MI |
| Postal Code: | 483231867 |
| Phone Number: | 2486821175 |
| Fax Number: | 2486820016 |
| NPI Enumeration Date: | 01/23/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204D00000X |
| License Number: | 34861 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |