Organization
CHOONG R. KIM, M.D.,P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHOONG R. KIM M.D. (PRESIDENT)
(360) 636-4841
Entity
Organization
Contact information
Practice address
1615 DELAWARE ST, LONGVIEW, WA 98632-2310
(360) 636-4841
(360) 636-6744
Mailing address
PO BOX 2819, LONGVIEW, WA 98632-8796
(360) 636-4841
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
061288
—
OR
05
—
1082841
—
WA
Enumeration date
09/21/2006
Last updated
11/21/2007
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