Individual
YOON M KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
104 E NORTHWOOD ST, GREENSBORO, NC 27401-1310
(336) 373-0936
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 214-9907
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
2019-01761
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1031222980002
—
PA
Enumeration date
07/29/2011
Last updated
08/26/2021
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