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Contact Information

KYUNG NAM KIM, MD
1401 W 5TH ST
SHERIDAN, WY82801-2705
 Phone: 307-672-1000
 Fax: 307-674-5405
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical Oncology

207RX0202X 11 Physician/Internal Medicine
 

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for KYUNG NAM KIM · (Male)

NPI Number 1457391773
Status Active
Credentials MD
Entity Individual
Enumeration date 06/07/2006
Last updated 08/05/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • CA License # A91016
  • CA License # A910160
  • WY License # 17248A
Hospital affiliation(s)
  • MERCY HOSPITAL OF FOLSOM - (Acute Care)
    1650 CREEKSIDE DRIVE
    FOLSOM, CA 95630
  • SUTTER GENERAL HOSPITAL - (Acute Care)
    2801 L STREET
    SACRAMENTO, CA 95816
  • SUTTER ROSEVILLE MEDICAL CENTER - (Acute Care)
    ONE MEDICAL PLAZA
    ROSEVILLE, CA 95661
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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