Individual
KENNETH KAI-YUK YIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
751 S BASCOM AVE, PLASTIC SURGERY DEPT, SAN JOSE, CA 95128-2604
(408) 885-5315
Mailing address
751 S BASCOM AVE, SAN JOSE, CA 95128-2604
Taxonomy
Speciality
Code
Description
License number
State
2086S0105X
Surgery of the Hand (Surgery) Physician
G64525
CA
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
G64525
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G645250
—
CA
Enumeration date
10/04/2006
Last updated
09/12/2007
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