# DAVID H KIM DO LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285987156
- **Authorized official:** DR. DAVID H KIM DO (OWNER)
- **Authorized official phone:** (419) 621-7620

## Contact information

- **Practice address:** 703 TYLER ST, SUITE 351, SANDUSKY, OH 44870-3367
- **Practice address phone:** (419) 621-7620
- **Practice address fax:** (419) 621-7623
- **Mailing address:** 703 TYLER ST, SUITE 351, SANDUSKY, OH 44870-3367
- **Mailing address phone:** (419) 621-7620
- **Mailing address fax:** (419) 621-7623

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | 34008221 | OH | Yes |

## Other

- **Enumeration date:** 10/17/2012
- **Last updated:** 10/17/2012