Individual
IL H. KIM
Active
Individual
IL H. KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
15264
WV
208000000X
Pediatrics Physician
Primary
35.050817
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000006612
ANTHEM BCBS
WV
01
—
000000007508
ANTHEM BCBS
—
01
—
000000181964
UNISON MEDICAID
OH
01
—
001714043
MOUNTAIN STATE BCBS
—
05
—
0112618000
—
WV
01
—
0556161
MOLINA MEDICAID
OH
05
—
0556161
—
OH
01
—
310917085107
CARESOURCE MEDICAID
OH
01
—
370002076
RR MEDICARE
—
Enumeration date
05/31/2006
Last updated
01/21/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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