Individual
BENEDICT Y KIM
Active
Individual
BENEDICT Y KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
34 006380
OH
2085R0202X
Diagnostic Radiology Physician
Primary
34 006380
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2134694
—
OH
01
—
300119316
RAILROAD MEDICARE
OH
Enumeration date
11/04/2005
Last updated
01/05/2011
Update your record
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