Individual
DR. BRIAN YOUNG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 COLCHESTER AVE, 358WP5 OPHTHALMOLOGY, BURLINGTON, VT 05401-1473
(802) 847-2251
(802) 847-1481
Mailing address
111 COLCHESTER AVE, 358WP5 OPHTHALMOLOGY, BURLINGTON, VT 05401-1473
(802) 847-2251
(802) 847-1481
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
42-0011150
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012625
—
VT
05
—
2810300
—
NY
Enumeration date
03/31/2006
Last updated
04/30/2012
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