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Individual

JOSHUA HAUN KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1821 S STOUGHTON RD, MADISON, WI 53716-2257
(608) 260-6000
(608) 260-6376
Mailing address
1821 S STOUGHTON RD, MADISON, WI 53716-2257
(608) 260-6000
(608) 260-6376

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
R4468
KY
390200000X
Student in an Organized Health Care Education/Training Program
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1821520164
WI
Enumeration date
03/28/2017
Last updated
08/25/2021
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