Organization
DOCTOR K LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR Y KIM M.D. (OWNER)
(443) 570-8035
Entity
Organization
Contact information
Practice address
5074 DORSEY HALL DR STE 104, ELLICOTT CITY, MD 21042-7794
(443) 766-3332
Mailing address
5074 DORSEY HALL DR STE 104, ELLICOTT CITY, MD 21042-7794
(443) 766-3332
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D51586
MD
261QP2300X
Primary Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
416570500
—
MD
Enumeration date
01/27/2018
Last updated
02/06/2025
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