Individual
THOMAS KIM
Active
Individual
THOMAS KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101233556
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010238412
—
VA
05
—
010240701
—
VA
01
—
188196
BCBS
VA
01
—
195692
BCBS
VA
01
—
P00290966
RAILROAD MEDICARE
VA
Enumeration date
03/23/2006
Last updated
03/17/2009
Update your record
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