Individual
KI YU KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3501 JOHN SIMMONS ST STE A201, URBANA, MD 21704-7964
(240) 699-1050
(410) 367-2353
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(667) 306-7130
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4351046236
MI
207Q00000X
Family Medicine Physician
Primary
D0101651
MD
Other
Enumeration date
06/23/2020
Last updated
01/03/2025
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