Individual
DR. EUGENE YOUNG KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30 N 1900 E # 1A71, SALT LAKE CITY, UT 84132-0002
(801) 213-4262
Mailing address
30 N 1900 E # 1A71, SALT LAKE CITY, UT 84132-0002
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
10731989-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
286468
NEW YORK STATE MEDICAL LICENSE
NY
Enumeration date
04/03/2012
Last updated
06/23/2020
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