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General NPI Number Information
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NPI Number | 1407144686
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Entity Type | Individual
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Provider Name | JOOHYUN KIM MD, PHD
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Gender | Male
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Dates
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Enumeration Date | 07/21/2011
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 800 HOWARD AVE
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City | NEW HAVEN
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State | CT
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Zip | 06519-1369
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Country | US
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Telephone | 203-785-6214
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Fax | 203-785-3346
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Provider Business Mailing Address
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Address Line | 9200 W WISCONSIN AVE SUITE E5700, MCW TRANSPLANT SURGERY
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City | MILWAUKEE
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State | WI
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Zip | 53226-3522
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Country | US
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Telephone | 414-805-6400
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Fax | 414-955-0213
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204F00000X
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Taxonomy Name | Transplant Surgery Physician
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License Number | 60765-20
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 204F00000X
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Taxonomy Name | Transplant Surgery Physician
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License Number | 80475
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License Number State | CT
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