Individual
DR. S JOHN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10555 W PARNELL AVE, HALES CORNERS, WI 53130-2000
(414) 427-5200
(414) 427-5205
Mailing address
10555 W PARNELL AVE, HALES CORNERS, WI 53130-2000
(414) 427-5200
(414) 427-5205
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
23181
IA
2084P0800X
Psychiatry Physician
Primary
25060-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30565800
—
WI
Enumeration date
08/24/2006
Last updated
07/09/2007
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