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NPI Code Detail

MEDICARE: HYEMIN APRIL KIM DO

MEDICARE: HYEMIN APRIL KIM DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician7285OK
2207P00000XEmergency Medicine PhysicianT2905TX
3390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1700415403
Entity Type Code : Individual
Provider Name (Legal Business Name) : HYEMIN APRIL KIM DO
Provider Business Mailing Address
First Line : 3401 W GORE BLVD
Second Line :
City : LAWTON
State : OK
Zip : 73505-6332
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3401 W GORE BLVD
Second Line :
City : LAWTON
State : OK
Zip : 73505-6332
Country : US
Telephone Number : 580-585-5545
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2020
Last Update Date : 02/20/2026

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Directions to “ HYEMIN APRIL KIM DO” Practice Location

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