Kyung Soo Kim in Shelby Twp - Nuclear Cardiology
Kyung Soo Kim - NPI 1558363119
Kyung Soo Kim is a Nuclear Cardiology in Shelby Twp, Michigan. Kyung Soo Kim practices all healthcare services and medical treatments related to Nuclear Cardiology. The NPI Number for Kyung Soo Kim is 1558363119. The last update date is 2023-03-07.
Kyung Soo Kim's current location address is 49050 Schoenherr Rd Ste 100, Shelby Twp, Michigan. You can contact this provider via phone number 5865667870 and fax number 5865667850. The mailing address for Kyung Soo Kim is 49050 Schoenherr Rd Ste 100, Shelby Twp, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kyung Soo Kim |
|---|---|
| Address | 49050 Schoenherr Rd Ste 100, Shelby Twp, Michigan |
| Phone Number | 5865667870 |
| Fax Number | 5865667850 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1558363119 |
|---|---|
| Provider Enumeration Date | 2005-08-12 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 49050 Schoenherr Rd Ste 100 |
|---|---|
| City | Shelby Twp |
| State | Michigan (MI) |
| Post Code | 483153848 |
| Phone Number | 5865667870 |
| Fax Number | 5865667850 |
Provider's Primary Taxonomy Detail
| Speciality | Nuclear Cardiology |
|---|---|
| Taxonomy | 207Un0901X |
| Licence No | 4301032265 |
|
Definition: A nuclear medicine physician who specializes in nuclear cardiology. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 060-507-4551 | MI | BLUECROSSBLUESHIELD | |
| OH-26467002 | MI | MEDICARE ID |
Post Comment/ Review Below
What is the Kyung Soo Kim's unique identification number?
The Kyung Soo Kim has been assigned the NPI (National Provider Identifier) Number 1558363119 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Kyung Soo Kim located?
The Kyung Soo Kim is located at 49050 Schoenherr Rd Ste 100, Shelby Twp, MI 483153848.
What is Kyung Soo Kim's area of expertise and its corresponding taxonomy classification?
The Kyung Soo Kim's field of specialization is Nuclear Cardiology, and it falls under the taxonomy code 207Un0901X, which categorizes healthcare providers based on their areas of practice.
On what date did Kyung Soo Kim receive its 1558363119 assignment from the Centers for Medicare & Medicaid Services?
The Kyung Soo Kim was assigned its 1558363119 on 2005-08-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Kyung Soo Kim, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kyung Soo Kim, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-03-07.
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN