Individual
DR. DONALD H KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2815 SW 119TH ST., OKLAHOMA CITY, OK 73170-2605
(405) 692-9977
(405) 691-6347
Mailing address
PO BOX 891977, OKLAHOMA CITY, OK 73189-1977
(405) 692-9977
(405) 691-6347
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21721
OK
208VP0000X
Pain Medicine Physician
21721
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00262362
RAILROAD MEDICARE
OK
Enumeration date
05/31/2006
Last updated
09/10/2007
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