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Individual

JOSEPH PETER KIM

Active
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Individual

JOSEPH PETER KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
38289-20
WI
207RG0100X
Gastroenterology Physician
JK079482
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100017318
RAILROAD MEDICARE
MI
01
1105202081
BLUE CROSS BLUE SHIELD
MI
05
34100400
WI
05
4437305
MI
Enumeration date
01/25/2006
Last updated
01/26/2026
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