Individual
DR. HYUNG JOO KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036125682
IL
207R00000X
Internal Medicine Physician
Primary
57404-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1457554511
BCBSWI
WI
05
—
1457554511
—
WI
01
—
KIMHY2
MERCYCARE
WI
Enumeration date
06/07/2007
Last updated
01/12/2015
Update your record
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