Individual
DR. DOUGLAS DUCK YOUNG KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
113504
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00206377
—
NY
01
—
254319200
ACS OWCP DOL
—
Enumeration date
10/24/2006
Last updated
11/25/2010
Update your record
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