Kevin Hyungwoo Kim, M.D./Ph.D.
Dermatology in San Rafael, CA. Individual provider (NPI-1).
NPI number1063755734
StatusActive
Last updated in NPPESFeb 11, 2022
Details
- NPI
- 1063755734
- Entity type
- Individual (NPI-1)
- Name
- Kevin Hyungwoo Kim
- Credential
- M.D./Ph.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 1, 2013
- Last updated
- Feb 11, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | A152384 | CA | Yes |
Practice location
99 Montecillo RdSan Rafael, CA 94903-3308
Phone 415-444-2000
Mailing address
99 Montecillo RdSan Rafael, CA 94903-3308
Phone 415-444-2000
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