Individual
JOSEPH PETER KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2801 W KINNICKINNIC RIVER PKWY STE 1080, MILWAUKEE, WI 53215-3689
(414) 908-6500
(414) 908-6510
Mailing address
2801 W KINNICKINNIC RIVER PKWY, STE 1080, MILWAUKEE, WI 53215-3689
(414) 908-6506
(414) 908-6510
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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