Individual
MIKE SUNWOO KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
301 FISHER ST RM 1G123, KEESLER AFB, MS 39534-2519
(228) 376-0577
(228) 376-0103
Mailing address
301 FISHER ST RM 1G123, KEESLER AFB, MS 39534-2519
(282) 376-0577
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
91050
GA
Other
Enumeration date
06/16/2019
Last updated
06/28/2023
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