Individual
YOON JUNG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9114 PHILADELPHIA RD SUITE 108, STE 108, MEDICAL HEALTH GROUP AT WHITE MARSH, BALTIMORE, MD 21237-4317
(410) 918-0777
(410) 369-1707
Mailing address
9114 PHILADELPHIA RD SUITE 108, STE 108, MEDICAL HEALTH GROUP AT WHITE MARSH, BALTIMORE, MD 21237-4317
(410) 918-0777
(410) 369-1707
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0047157
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2331600
AETNA HMO
—
01
—
5816355
PPO
—
01
—
P15186
MPOS
—
01
—
W6470007
BLUE CHOICE
—
Enumeration date
12/29/2005
Last updated
12/31/2009
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