Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | 72757 | WI |
N | 208200000X | Surgeon | 72757 | WI |
N | 208600000X | Surgeon | 72757 | WI |
NPI | 1518300656 |
---|---|
Provider Name | Dr. Steven C Kim |
First Address | Middleton, WI 53562-5531 |
Second Address | Madison, WI 53792-1059 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/04/2013 |
Last Update Date | 03/02/2021 |