Individual
DR. DAE Y KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D
Contact information
Practice address
1145 S UTICA AVE, SUITE 202, TULSA, OK 74104-4000
(918) 579-3130
(918) 579-3139
Mailing address
1145 S UTICA AVE, SUITE 202, TULSA, OK 74104-4000
(918) 579-3130
(918) 579-3139
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
31577
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
324649801 (MDACC)
—
TX
01
—
8EB319 (MDACC)
BCBS
TX
Enumeration date
08/28/2007
Last updated
07/15/2015
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