Individual
SCOTT SANG WON KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
533 E COUNTY LINE RD, SUITE 201, GREENWOOD, IN 46143-1073
(317) 706-7246
(317) 706-3419
Mailing address
8805 N MERIDIAN ST, INDIANAPOLIS, IN 46260-2760
(317) 706-7246
(317) 706-3417
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
0101255306
VA
207LP2900X
Pain Medicine (Anesthesiology) Physician
01077832A
IN
207LP2900X
Pain Medicine (Anesthesiology) Physician
MD043623
DC
208VP0000X
Pain Medicine Physician
D0077042
MD
208VP0014X
Interventional Pain Medicine Physician
Primary
01077832A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201410470
—
IN
Enumeration date
06/24/2009
Last updated
11/18/2025
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