# SEONG CHEOL KIM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1457351702
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083P0901X | Public Health & General Preventive Medicine Physician | 039276 | MI | — |
| 2083X0100X | Occupational Medicine Physician | 039276 | MI | — |
| 208D00000X | General Practice Physician | 4301039276 | MI | Yes |
| 208D00000X | General Practice Physician | SK039276 | MI | — |

## Other

- **Enumeration date:** 07/28/2005
- **Last updated:** 11/17/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4542300 | — | MI |