Individual
DR. LYNN YOUNG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
133 BROOKLINE AVE, RADIOLOGY DEPT, BOSTON, MA 02215-3904
(617) 421-1000
Mailing address
133 BROOKLINE AVE, RADIOLOGY DEPT, BOSTON, MA 02215-3904
(617) 421-1000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
223971
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2100916
—
MA
01
—
468243
TUFTS HEALTH CARE
MA
01
—
J28785
BLUE CROSS BLUE SHIELD
MA
Enumeration date
12/05/2005
Last updated
09/16/2013
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