# BOO KEUN KIM, MD, PA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BOO KEUN KIM, MD, PA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1134438575
- **Legal business name:** BOO KEUN KIM, MD, PA
- **Authorized official:** BOO KEUN KIM M.D. (PHYSICIAN)
- **Authorized official phone:** (301) 840-8545

## Contact information

- **Practice address:** 8921 SHADY GROVE COURT, GAITHERSBURG, MD 20877-1308
- **Practice address phone:** (301) 840-8545
- **Practice address fax:** (301) 840-8520
- **Mailing address:** 8921 SHADY GROVE COURT, GAITHERSBURG, MD 20877-1308
- **Mailing address phone:** (301) 840-8545
- **Mailing address fax:** (301) 840-8520

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | D13621 | MD | Yes |

## Other

- **Enumeration date:** 10/04/2010
- **Last updated:** 10/04/2010