Individual
DR. DONG W KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-3054
(615) 936-2000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
66747
TN
2085R0001X
Radiation Oncology Physician
M7333
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206229105
—
TX
01
—
PO1520687
RAILROAD MEDICARE
TX
05
—
Q079285
—
TN
Enumeration date
07/03/2006
Last updated
03/17/2025
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