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Individual
TONG SU KIM
Active
Individual
TONG SU KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301037885
MI
208000000X
Pediatrics Physician
A33664
CA
208000000X
Pediatrics Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21607071
BCBS
—
Enumeration date
07/21/2006
Last updated
07/08/2007
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