Individual
SU GYM KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
593 EDDY ST, GEORGE BUILDING, FIRST FLOOR, PROVIDENCE, RI 02903-4923
(401) 444-3777
(401) 444-7249
Mailing address
117 ELLENFIELD ST, SUITE 101, PROVIDENCE, RI 02905-4513
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
46722
KY
208VP0014X
Interventional Pain Medicine Physician
Primary
MD15614
RI
Other
Enumeration date
08/07/2011
Last updated
10/26/2021
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