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Contact Information

CHOONG R. KIM, M.D.,P.S.
1615 DELAWARE ST
LONGVIEW, WA98632-2310
 Phone: 360-636-4841
 Fax: 360-636-6744
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for CHOONG R. KIM, M.D.,P.S.

NPI # 1952409922
LBN Legal business name CHOONG R. KIM, M.D.,P.S.
Authorized official CHOONG KIM - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/21/2006
Last updated 11/21/2007 - About 19 years ago
Identifiers
OR Medicaid 061288
WA Medicaid 1082841
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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