Individual
DR. SOON GUM KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1705 E 19TH ST, SUITE 302, TULSA, OK 74104-5405
(918) 748-7585
(918) 748-7539
Mailing address
1705 E 19TH ST, SUITE 302, TULSA, OK 74104-5405
(918) 748-7585
(918) 748-7539
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
24651
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200076720 A
—
OK
Enumeration date
03/23/2006
Last updated
06/11/2010
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