Choon-Man Joseph Kim
Nuclear Medicine Specialist
1500 East Woodrow Wilson Drive Radiology Service, G.v. Montgomery Va Medical Center
Jackson
, Mississippi 39216
Choon-Man Joseph Kim
Nuclear Medicine Specialist
1500 East Woodrow Wilson Drive Radiology Service, G.v. Montgomery Va Medical Center
Jackson
, Mississippi 39216
(601) 856-8990
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About
Features
Specialties
- Nuclear Medicine Specialist
Languages spoken
- English
Location
First Address
- Choon-Man Joseph Kim
- 123 Mullherrin Drive
- Madison, MS
- Zip : 39110
- Fax : (601) 856-8990
- Phone : (601) 856-8990
Second Address
- Choon-Man Joseph Kim
- 1500 East Woodrow Wilson Drive Radiology Service, G.v. Montgomery Va Medical Center
- Jackson, MS
- Zip : 39216
- Fax : (601) 364-1589
- Phone : (601) 362-4471
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207U00000X | Nuclear Medicine Specialist | 37542 | MI |
National Provider Identifier
| NPI | 1467607416 |
|---|---|
| Provider Name | Choon-Man Joseph Kim |
| First Address | Madison, MS 39110 |
| Second Address | Jackson, MS 39216 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/11/2008 |
| Last Update Date | 18/11/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2943329 | (05) | MI |
| B43813 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.