Individual
RICHARD J KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30 E APPLE ST, SUITE 5254A, DAYTON, OH 45409-2939
(937) 208-4200
(937) 208-4205
Mailing address
30 E APPLE ST, SUITE 5254A, DAYTON, OH 45409-2939
(937) 208-4200
(937) 208-4205
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35123756
OH
2084N0400X
Neurology Physician
16671
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0105142
—
OH
Enumeration date
01/31/2011
Last updated
07/11/2016
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