Organization
KANG KIEL KIM MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KANG KIEL KIM MD (PRESIDENT)
(845) 471-1002
Entity
Organization
Contact information
Practice address
1 WEBSTER AVE, SUITE 307, POUGHKEEPSIE, NY 12601-1361
(845) 471-1002
(845) 471-1003
Mailing address
1 WEBSTER AVE, SUITE 307, POUGHKEEPSIE, NY 12601-1361
(845) 471-1002
(845) 471-1003
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
111678
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00538156
—
NY
Enumeration date
02/02/2007
Last updated
08/22/2020
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