Individual
DR. YOUNG C KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
250 FORTUNE BLVD, MILFORD, MA 01757-1743
(508) 478-5604
(508) 478-5639
Mailing address
250 FORTUNE BLVD, MILFORD, MA 01757-1743
(508) 473-1042
(508) 473-1058
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4146
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0317730
—
MA
Enumeration date
01/03/2007
Last updated
09/23/2011
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