Individual
YUN JU KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1205 S MAIN ST STE 201, CROWN POINT, IN 46307-3677
(219) 663-6520
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01079054A
IN
207RG0100X
Gastroenterology Physician
Primary
01079054A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/27/2009
Last updated
11/22/2021
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