Simon Kim, MD
Urology in Colorado Springs, CO. Individual provider (NPI-1).
NPI number1407972748
StatusActive
Last updated in NPPESJul 31, 2024
Details
- NPI
- 1407972748
- Entity type
- Individual (NPI-1)
- Name
- Simon Kim
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 21, 2007
- Certification date
- Jul 31, 2024
- Last updated
- Jul 31, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208800000X | Urology | 0061310 | CO | Yes |
| 208800000X | Urology | 35.124196 | OH | |
| 208800000X | Urology | 53371 | MN | |
| 208800000X | Urology | 104902 | MN |
Practice location
2222 N Nevada Ave Ste 2025Colorado Springs, CO 80907-6819
Phone 303-733-8848
Mailing address
2222 N Nevada Ave Ste 2025Colorado Springs, CO 80907-6819
Phone 303-733-8848
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