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Organization

HOCKING VALLEY OB/GYN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. YONG W KIM M.D. (CEO)
(740) 687-0087
Entity
Organization

Contact information

Practice address
1147 E MAIN ST, LANCASTER, OH 43130-4056
(740) 687-0087
Mailing address
PO BOX 950, LANCASTER, OH 43130-0950
(740) 654-4427

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35064371
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0897383
OH
Enumeration date
12/04/2007
Last updated
12/04/2007
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