Individual
YUSHIK KIM
Active
Individual
YUSHIK KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
1528
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2508140171
BLE CROSS/BLUE SHIED
—
01
—
LK037469
STATE
MI
Enumeration date
06/21/2006
Last updated
01/09/2008
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