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General NPI Number Information
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NPI Number | 1912003229
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Entity Type | Individual
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Provider Name | MYUNG HYO KIM MD
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Gender | Male
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Dates
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Enumeration Date | 09/15/2006
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Last Update Date | 10/30/2015
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Provider Practice Location Address
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Address Line | 711 TROY SCHENECTADY RD
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City | LATHAM
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State | NY
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Zip | 12110
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Country | US
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Telephone | 518-783-0710
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Fax | 518-783-0770
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Provider Business Mailing Address
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Address Line | 14W COBBLE HILL RD
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City | LOUDONVILLE
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State | NY
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Zip | 12211-1308
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Country | US
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Telephone | 518-334-8927
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Fax |
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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 | 2086S0105X
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Taxonomy Name | Surgery of the Hand (Surgery) Physician
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License Number | 117583
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License Number State | NY
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