Healthcare Provider Details

I. General information

NPI: 1255474359
Provider Name (Legal Business Name): SUNWOOK KIM MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SUNWOOK KIM-ASHCHI MD

II. Dates (important events)

Enumeration Date: 02/15/2007
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1380 E MEDICAL CENTER DR STE N1800
ST GEORGE UT
84790-2123
US

IV. Provider business mailing address

PO BOX 27128
SALT LAKE CITY UT
84127-0128
US

V. Phone/Fax

Practice location:
  • Phone: 435-251-4100
  • Fax: 435-251-4101
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number14269662-1235
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberME77123
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number24782
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: