Organization
DAVID H KIM DO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID H KIM DO (OWNER)
(419) 621-7620
Entity
Organization
Contact information
Practice address
703 TYLER ST, SUITE 351, SANDUSKY, OH 44870-3367
(419) 621-7620
(419) 621-7623
Mailing address
703 TYLER ST, SUITE 351, SANDUSKY, OH 44870-3367
(419) 621-7620
(419) 621-7623
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
34008221
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2460537
—
OH
Enumeration date
10/17/2012
Last updated
10/17/2012
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