Individual
DR. YOUNG C KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18697 BAGLEY ROAD, MIDDLEBURG HEIGHTS, OH 44130-3417
(440) 816-8770
(440) 816-8806
Mailing address
5655 HUDSON DRIVE, SUITE 210, HUDSON, OH 44236-4451
(330) 655-3800
(330) 655-3828
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35.045848
OH
2085R0202X
Diagnostic Radiology Physician
35045848
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000234730
UNISON
OH
01
—
000000341983
BC/BS INDIVIDUAL PIN NO
OH
01
—
000000559893
ANTHEM
OH
01
—
0304914
BCMH
OH
05
—
0448359
—
OH
01
—
P00600868
RAILROAD MEDICARE
OH
Enumeration date
07/22/2005
Last updated
09/03/2009
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