Individual
KYUNG H KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 CENTRAL ST, 4TH FLOOR, WORCESTER, MA 01608-1209
(508) 831-0708
(508) 831-0272
Mailing address
100 CENTRAL ST, 4TH FLOOR, WORCESTER, MA 01608-1209
(508) 831-0708
(508) 831-0272
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
212007
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0144291
—
MA
Enumeration date
07/06/2005
Last updated
09/18/2013
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