Individual
YOUNG HO KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PC
Contact information
Practice address
5639 SASHABAW RD, CLARKSTON, MI 48346-3149
(248) 922-9077
(248) 922-9040
Mailing address
5639 SASHABAW RD, CLARKSTON, MI 48346-3149
(248) 922-9077
(248) 922-9040
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301040478
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036185
VALUE OPTIONS
MI
01
—
2606374792
BLUE CROSS BLUE SHIELD
MI
01
—
278069000
MAGELLAN
—
01
—
4417209
AETNA
—
01
—
A73289
HEALTH ALLIANCE PLAN
MI
Enumeration date
11/03/2006
Last updated
10/13/2008
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