Individual
KYU-JIN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7575 FIREBIRD LANE, MANLIUS, NY 13104-9334
(315) 682-7185
Mailing address
7575 FIREBIRD LANE, MANLIUS, NY 13104
(315) 682-7185
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
123715
NY
Other
Enumeration date
10/11/2012
Last updated
10/11/2012
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