Individual
HYONG TAE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5405 S 500 E STE 202, OGDEN, UT 84405-7419
(801) 479-0184
Mailing address
PO BOX 741729, ATLANTA, GA 30374-1729
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
5701427-1205
UT
208C00000X
Colon & Rectal Surgery Physician
Primary
5701427-1205
UT
Other
Enumeration date
02/06/2008
Last updated
01/07/2026
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