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Individual

DR. GREGORY YUNG SUK KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3000 COLISEUM DR, STE 200, HAMPTON, VA 23666-5963
(757) 736-7280
(757) 224-3541
Mailing address
3000 COLISEUM DR, STE 200, HAMPTON, VA 23666-5963
(757) 736-7280
(757) 224-3541

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101057985
VA
208600000X
Surgery Physician
2015-02368
NC
208600000X
Surgery Physician
M1832
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1776049
TX
Enumeration date
08/01/2006
Last updated
12/26/2024
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