Individual
DR. JOHN MYOUNG KOO KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1115 WOOSTER RD W, BARBERTON, OH 44203
(330) 825-6892
(330) 825-2782
Mailing address
1115 WOOSTER RD W, BARBERTON, OH 44203
(330) 825-6892
(330) 825-2782
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35-100108
OH
207Q00000X
Family Medicine Physician
35100108
OH
208D00000X
General Practice Physician
35100108
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0269865
—
OH
01
—
778938
WORKMAN'S COMP
—
Enumeration date
01/18/2006
Last updated
12/30/2010
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