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Contact Information

MOON JOO KIM, MD
2431 ANDREW ST
POCATELLO, ID83201-8000
 Phone: 281-798-2210
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for MOON JOO KIM · (Female)

NPI # 1255825469
Status Active
Credentials MD
Entity Individual
Enumeration date 06/20/2018
Last updated 05/22/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • ID License # M-17400
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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