Individual
KYUNG NAM KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1401 W 5TH ST, SHERIDAN, WY 82801-2705
(307) 672-1000
(307) 674-5405
Mailing address
740 OAK AVENUE PKWY STE 110, FOLSOM, CA 95630-6814
(916) 250-0377
(916) 250-0378
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A910160
CA
207RH0003X
Hematology & Oncology Physician
A91016
CA
207RX0202X
Medical Oncology Physician
Primary
17248A
WY
Other
Enumeration date
06/07/2006
Last updated
08/05/2024
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