Individual
DR. SUK KI KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3332 VILLA PT, STE 104, OWENSBORO, KY 42303-7818
(270) 684-5679
(270) 684-5753
Mailing address
3332 VILLA PT, STE 104, OWENSBORO, KY 42303-7818
(270) 684-5679
(270) 684-5753
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
17728
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100001550A
—
IN
05
—
64177280
—
KY
Enumeration date
06/09/2005
Last updated
01/29/2013
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