Individual
BILLY JOHN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
660 S MOUNT JULIET RD STE 230, MOUNT JULIET, TN 37122-3923
(615) 874-9667
(615) 871-9682
Mailing address
410 42ND AVE N STE 400, NASHVILLE, TN 37209-3658
(615) 329-7887
(615) 346-6225
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
46035
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BP2-0019172
INSTITUTIONAL PERMIT
—
Enumeration date
06/13/2007
Last updated
08/25/2023
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