Individual
DR. KYLE HYUNGU KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 E MAIN ST, BAY SHORE, NY 11706-8458
(631) 968-3970
Mailing address
301 E MAIN ST, BAY SHORE, NY 11706-8458
(631) 968-3970
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036159140
IL
207P00000X
Emergency Medicine Physician
4110-320
WI
Other
Enumeration date
04/04/2019
Last updated
03/27/2024
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