Individual
SE DUCK KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
516 NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1000
Mailing address
1610 MONTEREY DR, GALLUP, NM 87301-5640
(505) 722-9444
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
48391341205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168477
—
AZ
05
—
33089281
—
NM
Enumeration date
08/02/2006
Last updated
10/31/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us