Individual
YOUNGKI KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M
Contact information
Practice address
516 DELAWARE ST SE, PWB 4TH FLOOR, ROOM 4-100, MINNEAPOLIS, MN 55455-0356
(612) 626-6777
Mailing address
420 DELAWARE ST SE MMC 491, UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55455
(612) 626-6777
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
22048
MN
2080P0210X
Pediatric Nephrology Physician
Primary
22048
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012087
—
MT
01
—
053926
FAIRVIEW
MN
05
—
0990457
—
IA
01
—
101068
U CARE
MN
01
—
1012191
PREFERRED ONE
MN
05
—
10387
—
ND
05
—
2104458
—
OH
01
—
2T291KI
BCBS
MN
05
—
30200800
—
WI
01
—
3107051
MEDICA-CHOICE
MN
05
—
64421308
—
KY
05
—
685883000
—
MN
01
—
768197
ARAZ
—
05
—
7777470
—
SD
01
—
A063
CHAMPUS/TRIWEST
—
01
—
HP21987
HEALTH PARTNERS
MN
Enumeration date
10/13/2006
Last updated
10/26/2012
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