Individual provider · Type 1 NPI
Kyu-Jin Kim, MD
General Practice Physician · Manlius, NY
NPI number
1215289491
Active
Practice location
7575 Firebird Lane
Manlius, NY 13104-9334
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 123715 (NY) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
About NPI 1215289491
Kyu-Jin Kim, MD's National Provider Identifier is 1215289491, issued on Oct 11, 2012. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Manlius, NY. The record was last updated on Oct 11, 2012.