Individual
MR. YOUNG K KIM
Active
Individual
MR. YOUNG K KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6044
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000020085
BMC HEALTH NET
MA
05
—
0520772
—
MA
01
—
W04819
BLUE CROSS BS
MA
Enumeration date
12/06/2006
Last updated
03/26/2019
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