Myung-Sup Kim MD PA

NPI #1457311656 in Petersburg, West Virginia

Provider Information

NPI Number: 1457311656
Entity Type: Organization
Organization Name: Myung-Sup Kim MD PA
Primary Specialty: Specialist
Enumeration Date: Mar 23, 2006
Last Updated: Aug 16, 2010

Practice Location

Address: RT 55 WEST
City: Petersburg
State: West Virginia
ZIP Code: 26847
Phone: (304) 257-1026

Authorized Official

Name: DR. MYUNG-SUP KIM, MD
Title: PRESIDENT
Phone: (301) 724-1646

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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