Individual
THEODORE KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 263-6400
(608) 262-6743
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2014019005
MO
208M00000X
Hospitalist Physician
Primary
67171
WI
Other
Enumeration date
07/08/2014
Last updated
11/14/2022
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