Organization
CHEST AND SLEEP INSTITUTE OF SPRINGFIELD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
S. BRIAN KIM M.D. (PRESIDENT)
(417) 886-2747
Entity
Organization
Contact information
Practice address
1540 E EVERGREEN ST, SPRINGFIELD, MO 65803-4300
(417) 823-2900
(417) 886-2774
Mailing address
1540 E EVERGREEN ST, SPRINGFIELD, MO 65803-4300
(417) 823-2900
(417) 886-2774
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
R5J91
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
501963904
—
MO
Enumeration date
10/02/2006
Last updated
01/15/2019
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