Individual
TONY KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1200 EVERETT DR, OKLAHOMA CITY, OK 73104
(405) 271-5125
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
6686
OK
2085R0202X
Diagnostic Radiology Physician
Primary
DR.0070004
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/16/2018
Last updated
08/15/2024
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