Individual
DR. SAEKYU ROBERT KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
475 BRUCE ST, YREKA, CA 96097-3474
(530) 841-6313
(530) 841-6334
Mailing address
444 BRUCE ST, YREKA, CA 96097-3450
(530) 841-6313
(530) 841-6334
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD00042435
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1118645
—
WA
05
—
1629033535
—
CA
01
—
CG054Z
PTAN MEDICARE
CA
Enumeration date
04/20/2006
Last updated
11/12/2009
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