Individual
DR. KUN-KIL KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 LINCOLN AVE, CARBONDALE, PA 18407-2116
(570) 281-1004
Mailing address
66 W GILBERT ST, 2ND FLOOR, TINTON FALLS, NJ 07701-4918
(732) 212-0060
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD21522E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014814710013
—
PA
Enumeration date
09/19/2005
Last updated
03/10/2009
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