Individual
HYUNG T KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
655 KENMOOR AVE SE STE 200, GRAND RAPIDS, MI 49546-8622
(616) 363-7690
(616) 942-8917
Mailing address
801 PLYMOUTH AVE SE, GRAND RAPIDS, MI 49506-6555
(314) 255-9255
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301059422
MI
208D00000X
General Practice Physician
2007001489
MO
Other
Enumeration date
09/05/2013
Last updated
10/17/2023
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