Individual
KYUNG IN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
240 RIVERSIDE DR, JOHNSON CITY, NY 13790-2732
(607) 798-9356
(607) 797-1707
Mailing address
240 RIVERSIDE DR, JOHNSON CITY, NY 13790-2732
(607) 798-9356
(607) 797-1707
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A131465-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00482375
—
NY
Enumeration date
07/27/2006
Last updated
03/23/2021
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