Individual
ROY J KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9500 EUCLID AVE # R3, CLEVELAND, OH 44195-0001
(216) 444-4281
(216) 636-6761
Mailing address
9500 EUCLID AVE # R3, CLEVELAND, OH 44195-0001
(216) 444-4281
(216) 636-6761
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35.127637
OH
2080P0205X
Pediatric Endocrinology Physician
Primary
35.127637
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0076694
—
NJ
01
—
094380
MEDICARE
OH
05
—
101394083
—
PA
Enumeration date
07/25/2006
Last updated
11/02/2021
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