Individual
DR. BUUP JUSTIN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3250 GORDONVILLE RD STE 358, CAPE GIRARDEAU, MO 63703-5095
(573) 331-3155
(573) 331-5096
Mailing address
PO BOX 801143, KANSAS CITY, MO 64180-1143
(573) 331-5583
(573) 331-5079
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
17672
ND
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
2022016384
MO
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
35061675K
OH
Other
Enumeration date
07/29/2006
Last updated
08/21/2024
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