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Individual
PROF. YONG SIK KIM
Active
Individual
PROF. YONG SIK KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M1834
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176400301
—
TX
01
—
8S6145
BCBSTX
TX
01
—
I42588
UPIN
TX
Enumeration date
05/31/2005
Last updated
02/11/2014
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