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Samuel Chan Kim, MD
Urology Physician in Lafayette, Indiana
NPI 1134129679

Samuel Chan Kim is a Urology Physician based in Indianapolis, IN. Samuel Chan Kim practices in Lafayette, IN and has the professional credentials of MD. The NPI Number for Samuel Chan Kim is 1134129679 and holds a License No. 01058979A (Indiana).

The current practice location address for Samuel Chan Kim is 5165 Mccarty Ln, Lafayette, IN and can be reached out via phone at 765-448-8000 and via fax at 765-448-7619.

Location: 5165 Mccarty Ln, Lafayette, IN, 46219-4959
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134129679
Provider Name
Samuel Chan Kim
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5165 Mccarty Ln, Lafayette, IN, 46219-4959
Phone Number
765-448-8000
Fax Number
765-448-7619
Provider Enumeration Date
07/27/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
815500539 01 IN MEDICARE PTAN
200476300A 05 IN
institution
Provider Business Practice Location Address Details
Address
5165 Mccarty Ln
City
Lafayette
State
Indiana
Zip
47905-8764
Phone Number
765-448-8000
Fax Number
765-448-7619
person
Provider Business Mailing Address Details
Address
5165 Mccarty Ln
City
Lafayette
State
Indiana
Zip
47905-8764
Phone Number
765-448-8000
Fax Number
765-448-7619
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
01058979A (Indiana)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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