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Contact Information

CHOON MAN J KIM, MD
1500 EAST WOODROW WILSON DRIVE
RADIOLOGY SERVICE, G.V. MONTGOMERY VA MEDICAL CENTER
JACKSON, MS39216
 Phone: 601-362-4471
 Fax: 601-364-1589
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nuclear Medicine

207U00000X 36 Physician/Nuclear Medicine
 

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for CHOON MAN J KIM · (Male)

NPI Number 1467607416
Status Active
Credentials MD
Entity Individual
Enumeration date 11/18/2008
Last updated 11/18/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • CA License # NO A-30560
  • MI License # 37542
  • MI Medicaid 2943329
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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