Individual
EUNKUK KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
BEACON HILL DR, APT A, WINSTON SALEM, NC 27106
(336) 997-6842
Mailing address
MEDICAL CENTER BLVD, 3RD FLOOR, STICHT CENTER, WINSTON-SALEM, NC 27157
(336) 997-6842
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
147419
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A0037895000
MEDICOST
NC
Enumeration date
09/18/2008
Last updated
09/18/2008
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