Individual
DR. KUN ZOO KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3042 OAKCLIFF RD, SUITE 200, DORAVILLE, GA 30340-2699
(770) 458-4255
(770) 458-4406
Mailing address
3042 OAKCLIFF RD, SUITE 200, DORAVILLE, GA 30340-2699
(770) 458-4255
(770) 458-4406
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
039608
GA
207YS0123X
Facial Plastic Surgery Physician
Primary
039608
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000670458F
—
GA
01
—
0683598
CIGNA
GA
01
—
516833
AETNA
GA
01
—
52498637
BCBS OF GEORGIA
GA
Enumeration date
07/06/2005
Last updated
01/28/2009
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