Organization
HAESOOK S KIM MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAESOOK S KIM MD (DIRECTOR)
(810) 762-8490
Entity
Organization
Contact information
Practice address
302 KENSINGTON AVE, FLINT, MI 48503-2044
(810) 762-8490
Mailing address
302 KENSINGTON AVE, FLINT, MI 48503-2044
(810) 762-8490
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1410999
—
MI
Enumeration date
11/15/2012
Last updated
11/15/2012
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