Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | 35.076545 | OH |
NPI | 1063529212 |
---|---|
Provider Name | David K Kim |
First Address | Westerville, OH 43081-1397 |
Second Address | Dublin, OH 43016-1443 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/08/2006 |
Last Update Date | 19/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2120565 | (05) | OH |
G14949 | (02) |