Individual
PAUL B KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4401 HARRISON BLVD, OGDEN, UT 84403-3195
(801) 387-2800
(801) 475-1621
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 387-2800
(801) 475-1621
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
5094041-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
810001020
MEDICARE RAILROAD
UT
Enumeration date
07/28/2006
Last updated
11/21/2015
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