Individual
DR. KYU C. KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1351 MAIN ST STE 5, BROCKTON, MA 02301-7153
(772) 222-5397
Mailing address
1351 MAIN ST STE 5, BROCKTON, MA 02301-7153
(772) 222-5397
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
256190
MA
207RR0500X
Rheumatology Physician
Primary
256190
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110097584A
—
MA
05
—
3125045
—
NH
Enumeration date
03/30/2009
Last updated
02/24/2026
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