Individual
DR. BENJAMIN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1220 E 3900 S, 4F, SALT LAKE CITY, UT 84124-1327
(801) 268-8223
(801) 268-8248
Mailing address
1220 E 3900 S, 4F, SALT LAKE CITY, UT 84124-1327
(801) 268-8223
(801) 268-8248
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
1003810220
UT
2086X0206X
Surgical Oncology Physician
1003810220
UT
208C00000X
Colon & Rectal Surgery Physician
Primary
1003810220
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700075
UNITED HEALTH OF UTAH
UT
01
—
45948
PEHP
UT
01
—
QM0000033040
ALTIUS
UT
Enumeration date
06/27/2006
Last updated
09/11/2025
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