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Individual
SOO HYUN KIM
Active
Individual
SOO HYUN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
P5398
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
324707401
—
TX
01
—
8DY624
BLUE CROSS BLUE SHIELD
TX
01
—
P01466079
RR MEDICARE
TX
Enumeration date
06/22/2009
Last updated
02/28/2017
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