Individual
BYUNGHEE KEVIN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M
Contact information
Practice address
1915 BISHOP LN, LOUISVILLE, KY 40218-1901
(502) 459-3338
(502) 459-7509
Mailing address
2299 POST ST 205, SAN FRANCISCO, CA 94115-3473
(510) 289-6624
(800) 808-1779
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
00401
KY
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E5000
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000863362
ANTHEM
KY
01
—
50063970
PASSPORT HEALTH PLAN
KY
05
—
7100267930
—
KY
01
—
P01291447
RAILROAD MEDICARE
KY
Enumeration date
05/08/2013
Last updated
12/14/2015
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