Individual
MR. HYUNG WOOK KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 NORTH STATE STREET, UNIVERSITY REHABILITATION CENTER, JACKSON, MS 39216
(601) 984-6525
Mailing address
2500 NORTH STATE STREET, DEPARTMENT OF ORTHOPEDICS & REHABILITATION, JACKSON, MS 39216
(601) 984-6525
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
23057
MS
208VP0014X
Interventional Pain Medicine Physician
23057
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03205061
—
MS
Enumeration date
12/19/2005
Last updated
11/17/2015
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