Individual
SUCK WON KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2312 SOUTH 6TH STREET, SUITE F256 / 2B WEST, MINNEAPOLIS, MN 55455
(612) 273-8700
Mailing address
420 DELAWARE ST SE, UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55455
(612) 273-8700
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
20083
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009760800
—
MN
05
—
0500298
—
IA
01
—
088963
FAIRVIEW
MN
01
—
1009170
PREFERRED ONE
MN
05
—
10387
—
ND
01
—
108091
U CARE
MN
01
—
1507269
MEDICA-CHOICE
MN
01
—
260026103
RR MEDICARE
—
05
—
31694300
—
WI
01
—
5T619KI
BCBS
MN
01
—
765590
ARAZ
—
05
—
7777470
—
SD
01
—
HP22352
HEALTH PARTNERS
MN
Enumeration date
10/18/2006
Last updated
07/09/2007
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