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Individual
BYUNGHEE KEVIN KIM
Active
Individual
BYUNGHEE KEVIN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
00401
KY
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E5000
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000863362
ANTHEM
KY
01
—
50063970
PASSPORT HEALTH PLAN
KY
05
—
7100267930
—
KY
01
—
P01291447
RAILROAD MEDICARE
KY
Enumeration date
05/08/2013
Last updated
12/14/2015
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