Individual
BOYOUNG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1055 LAURENCE AVE, JACKSON, MI 49202-2964
(517) 273-4343
Mailing address
2732 BARCLAY WAY, ANN ARBOR, MI 48105-9458
(734) 709-3908
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601012203
MI
Other
Enumeration date
04/21/2023
Last updated
01/08/2024
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