Individual
HAESOOK S KIM
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
302 KENSINGTON AVE, FLINT, MI 48503
(810) 762-8058
(810) 762-8016
Mailing address
PO BOX 2987, INDIANAPOLIS, IN 46206
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
HK037386
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1410999
—
MI
01
—
3208510060
BLUE CROSS
—
01
—
3R07601
HEALTH PLUS
—
01
—
C1873
MCARE
—
Enumeration date
04/13/2006
Last updated
07/08/2007
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