Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 35.128736 | OH |
N | 207W00000X | Ophthalmologist | MD29310 | OR |
NPI | 1003029026 |
---|---|
Provider Name | Dr. Yu Hyon Kim |
First Address | Highland Hills, OH 44122-7251 |
Second Address | Cleveland, OH 44106-1716 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2007 |
Last Update Date | 24/06/2016 |