Individual
DR. SEUNG KWAN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3520 147TH ST, SUITE 1D,1E,1F, FLUSHING, NY 11354-3765
(718) 321-2870
(718) 321-2891
Mailing address
3520 147TH ST, SUITE 1D,1E,1F, FLUSHING, NY 11354-3765
(718) 321-2870
(718) 321-2891
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
169723
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01093241
—
NY
Enumeration date
01/30/2006
Last updated
08/16/2021
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