Organization
CHOONG H. KIM, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHOONG H KIM M.D. (OWNER)
(440) 998-1200
Entity
Organization
Contact information
Practice address
2825 LAKE AVE, ASHTABULA, OH 44004-4961
(440) 998-1200
Mailing address
2825 LAKE AVE, ASHTABULA, OH 44004-4961
(440) 998-1200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0418711
—
OH
01
—
1508877218
INDIVIDUAL NPI NUMBER
OH
Enumeration date
06/07/2007
Last updated
08/22/2020
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