Individual
DONG HYUN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2593 WOODLAND DR, OGDEN, UT 84403-5111
(801) 479-9711
(801) 479-9711
Mailing address
2593 WOODLAND DR, OGDEN, UT 84403-5111
(801) 479-9711
(801) 479-9711
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
163262-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2598437767
UTAH STATE PROVIDER NUMBERS
UT
Enumeration date
05/01/2010
Last updated
05/01/2010
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