Individual
DR. GWANG OCH KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2819 HAYES AVE, SUITE #1, SANDUSKY, OH 44870-5391
(419) 627-8403
(419) 627-1962
Mailing address
1031 PIERCE STREET, SUITE D, SANDUSKY, OH 44870
(419) 557-5541
(419) 557-5542
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
35 040705
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000129590
ANTHEM BCBS
OH
05
—
0364690
—
OH
01
—
390007082
RAILROAD MEDICARE
OH
Enumeration date
08/04/2005
Last updated
09/12/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us