Individual
DR. DAVID JIWOONG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2006 FRANKLIN ST SE STE 200, HUNTSVILLE, AL 35801-4537
(256) 539-0457
(256) 539-5827
Mailing address
2006 FRANKLIN ST SE STE 200, HUNTSVILLE, AL 35801-4537
(256) 539-0457
(256) 539-5827
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
39252
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14646695
CAQH
—
05
—
249618
—
AL
05
—
249694
—
AL
05
—
249725
—
AL
05
—
249890
—
AL
05
—
250005
—
AL
05
—
250108
—
AL
05
—
250263
—
AL
05
—
250821
—
AL
05
—
251027
—
AL
05
—
253613
—
AL
05
—
257365
—
AL
Enumeration date
05/20/2014
Last updated
02/26/2024
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