Organization
DR. YONG H. KIM, PSYD, PROFESSIONAL LIMITED COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YONG H. KIM PSY.D. (PSYCHOLOGIST)
(405) 365-7556
Entity
Organization
Contact information
Practice address
8101 NW 10TH, OKLAHOMA CITY, OK 73127
(405) 365-7556
Mailing address
13004 WILLOWCREST LN., OKLAHOMA CITY, OK 73170
(405) 365-7556
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1109
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200304690
—
OK
Enumeration date
11/28/2012
Last updated
11/28/2012
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