Individual
VICTOR YONGHOON KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5074 DORSEY HALL DR STE 104, ELLICOTT CITY, MD 21042-7794
(443) 766-3332
(410) 480-2336
Mailing address
5074 DORSEY HALL DR STE 104, ELLICOTT CITY, MD 21042-7794
(443) 766-3332
(410) 480-2336
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0051586
MD
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
D51586
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
416570500
—
MD
01
—
D0051586
MEDICAL LICENSE
MD
Enumeration date
07/26/2006
Last updated
02/05/2025
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