Individual
DONG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 364-3300
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
16544
ND
207N00000X
Dermatology Physician
67131
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/06/2016
Last updated
07/13/2020
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