Organization
CHUNG KIEL KIM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHUNG KIEL KIM M.D. (OWNER)
(219) 464-3063
Entity
Organization
Contact information
Practice address
2000 ROOSEVELT RD, SUITE 104, VALPARAISO, IN 46383-2800
(219) 464-3063
(219) 462-6448
Mailing address
2000 ROOSEVELT RD, VALPARAISO, IN 46383-2800
(219) 464-3063
(219) 462-6448
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01030918A
IN
Other
Enumeration date
09/10/2007
Last updated
09/10/2007
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