Kim, David Jiwoong

Kim, David Jiwoong is an individual health care provider with primary practice located at 2006 Franklin St Se Ste 200 , Huntsville AL 35801-4537. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as his primary health care specialty. Kim, David Jiwoong can be contacted via phone (256) 539-0457.

Contact Information

Primary practice address
2006 Franklin St Se Ste 200 Huntsville AL 35801-4537
Phone: (256) 539-0457
Fax: (256) 539-5827
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 39252 Alabama

Profile Details

NPI number 1154733517
LBN Legal business name Kim, David Jiwoong
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2014
Last updated Feb 26th, 2024 - about 10 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1154733517 NPPES
Other 14646695 CAQH
MEDICAID 249725 CAQH
MEDICAID 250263 CAQH
MEDICAID 249694 CAQH
MEDICAID 250108 CAQH
MEDICAID 249618 CAQH
MEDICAID 250005 CAQH
MEDICAID 257365 CAQH
MEDICAID 249890 CAQH
MEDICAID 250821 CAQH
MEDICAID 251027 CAQH
MEDICAID 253613 CAQH

Popular Providers