# DR. MICHAEL M KIM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1689720468
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YS0123X | Facial Plastic Surgery Physician | 42031 | AZ | — |
| 207YS0123X | Facial Plastic Surgery Physician | MD27979 | OR | Yes |

## Other

- **Enumeration date:** 01/26/2007
- **Last updated:** 02/02/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 218503 | — | OR |
| 05 | — | 433505 | — | AZ |
| 05 | — | 807968400 | — | ID |