Individual
YOUNG H KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 S WASHINGTON AVE, SAGINAW, MI 48601-2551
(989) 776-8115
Mailing address
4449 FASHION SQUARE BLVD, SAGINAW, MI 48603-5217
(989) 790-0007
(989) 790-7547
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
4301034950
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
920002279
RR MEDICARE
MI
Enumeration date
12/22/2005
Last updated
11/02/2011
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