Individual
SIMON KIM
Active
Individual
SIMON KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0061310
CO
208800000X
Urology Physician
104902
MN
208800000X
Urology Physician
35.124196
OH
208800000X
Urology Physician
53371
MN
Other
Enumeration date
03/21/2007
Last updated
07/31/2024
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