Organization
DUCK J KIM MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUCK J KIM MD (OWNER)
(518) 563-8050
Entity
Organization
Contact information
Practice address
210 CORNELIA ST, STE 204, PLATTSBURGH, NY 12901-2396
(518) 563-8050
(518) 563-8352
Mailing address
210 CORNELIA ST, STE 204, PLATTSBURGH, NY 12901-2396
(518) 563-8050
(518) 563-8352
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
110604
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000405443001
BLUE SHIELD NORTHEASTERN
NY
05
—
00511922
—
NY
Enumeration date
08/15/2006
Last updated
03/09/2011
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