Individual
DR. CHONG DUK KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7300 OLD YORK RD, STE 203, ELKINS PARK, PA 19027-3037
(215) 635-9000
(215) 782-2232
Mailing address
7300 OLD YORK RD, STE 203, ELKINS PARK, PA 19027-3037
(215) 635-9000
(215) 782-2232
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD030721E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0850038001
KEYSTONE HEALTH PLAN EAST
PA
01
—
085936
AETNA
PA
01
—
1019107
KEYSTONE MERCY
PA
01
—
1750459350
BRAVO
PA
01
—
37121
HEALTH PARTNERS
PA
01
—
K808570
AMERIHEALTH
PA
Enumeration date
12/01/2006
Last updated
10/12/2012
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