Organization
BOO KEUN KIM, MD, PA
Active
Parent organization
BOO KEUN KIM, MD, PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
BOO KEUN KIM, MD, PA
Authorized official
BOO KEUN KIM M.D. (PHYSICIAN)
(301) 840-8545
Entity
Organization
Contact information
Practice address
8921 SHADY GROVE COURT, GAITHERSBURG, MD 20877-1308
(301) 840-8545
(301) 840-8520
Mailing address
8921 SHADY GROVE COURT, GAITHERSBURG, MD 20877-1308
(301) 840-8545
(301) 840-8520
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
D13621
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006091700
—
MD
Enumeration date
10/04/2010
Last updated
10/04/2010
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