Individual
DR. SANG KEUN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
875 POPLAR CHURCH RD, SUITE 400, CAMP HILL, PA 17011-2203
(717) 724-6450
(717) 724-6451
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD065849L
PA
207RI0011X
Interventional Cardiology Physician
MD065849L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018458330004
—
PA
01
—
060071369
RAILROAD MEDICARE
—
Enumeration date
05/23/2005
Last updated
08/21/2020
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