Individual
YUNG SO KIM
Active
Individual
YUNG SO KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
26576
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009994195
—
AL
05
—
009994205
—
AL
05
—
009994215
—
AL
01
—
010033CB54133
SECTION 1011
AL
01
—
01356292
MISSISSIPPI MEDICAID
MS
01
—
051528288
BLUE CROSS
AL
01
—
05152829
BLUE CROSS
AL
01
—
051528290
BLUE CROSS
AL
01
—
051528291
BLUE CROSS
AL
Enumeration date
06/29/2006
Last updated
07/05/2011
Update your record
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