Individual
TAIK-KUN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
322 E ANTIETAM ST STE 106, HAGERSTOWN, MD 21740-5736
(301) 739-6147
(301) 739-6163
Mailing address
VA PITTSBURGH HEALTHCARE SYSTEM, UNIVERSITY DRIVE, RADIOLOGY PROGRAM (132X-U), PITTSBURGH, PA 15240
(412) 360-3314
(412) 360-6686
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
51367-20
WI
2085R0202X
Diagnostic Radiology Physician
Primary
D78778
MD
Other
Enumeration date
09/14/2006
Last updated
03/17/2018
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