Individual
DR. JOHN RAPHAEL KIM
Active
Individual
DR. JOHN RAPHAEL KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
10142685
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0983280
—
OH
05
—
100376180
—
IN
01
—
300039257
MEDICARE RAILROAD
IN
01
—
300077566
MEDICARE RAILROAD
IN
Enumeration date
01/27/2006
Last updated
12/16/2009
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