Individual
KU JUNG KIM
Active
Individual
KU JUNG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35047896K
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000230803
ANTHEM BLUE SHIELD
—
05
—
0555304
—
OH
05
—
200320210
—
IN
01
—
404138398
HEALTHNET
—
01
—
48359301
DEPT OF LABOR
—
05
—
64048911
—
KY
Enumeration date
11/18/2005
Last updated
02/20/2008
Update your record
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