Individual
INSUNG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6160 S YALE AVE, TULSA, OK 74136-1930
(918) 497-3850
(918) 497-3651
Mailing address
6600 S YALE AVE, SUITE1400, TULSA, OK 74136-3310
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
14321
OK
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
14321
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100824290A
—
OK
Enumeration date
01/26/2006
Last updated
09/17/2015
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