Individual
CHANG HUN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3622 BELMONT AVE, SUITE1, YOUNGSTOWN, OH 44505-1450
(330) 759-9350
(330) 759-9387
Mailing address
3622 BELMONT AVE, SUITE1, YOUNGSTOWN, OH 44505-1450
(330) 759-9350
(330) 759-9387
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35044944K
OH
207LP2900X
Pain Medicine (Anesthesiology) Physician
35044944K
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0573768
—
OH
Enumeration date
09/14/2005
Last updated
03/09/2011
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