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Individual
KIRK JIHYON PAK
Active
Individual
KIRK JIHYON PAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D., M.SC.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01076965A
IN
207R00000X
Internal Medicine Physician
MD.207561
LA
208M00000X
Hospitalist Physician
01076965A
IN
208M00000X
Hospitalist Physician
Primary
85101-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001195932
ANTHEM
—
05
—
05809560
—
MS
05
—
100307369
—
WI
05
—
2196472
—
LA
05
—
300006000
—
IN
Enumeration date
05/03/2012
Last updated
03/31/2025
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