Organization
KYUNG H KIM MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYUNG H KIM MD PC (MD)
(914) 668-2600
Entity
Organization
Contact information
Practice address
262 E PROSPECT AVE, MT VERNON, NY 10550-1605
(914) 668-2600
(914) 668-6102
Mailing address
262 E PROSPECT AVE, MT VERNON, NY 10550-1605
(914) 668-2600
(914) 668-6102
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
150848
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00793453
—
NY
Enumeration date
09/08/2006
Last updated
08/22/2020
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