person
Kyung Soo Kim, MD
Nuclear Cardiology Physician in Warren, Michigan
NPI 1558363119

Kyung Soo Kim is a Nuclear Cardiology Physician based in Shelby Twp, MI and is specialized in Nuclear Cardiology. Kyung Soo Kim practices in Warren, MI and has the professional credentials of MD. The NPI Number for Kyung Soo Kim is 1558363119 and holds a License No. 4301032265 (Michigan).

The current practice location address for Kyung Soo Kim is 14049 E 13 Mile Rd Ste 1, Warren, MI and can be reached out via phone at 586-415-0103 and via fax at 586-415-0108. You can also correspond with Kyung Soo Kim through the mailing address at 49050 SCHOENHERR RD STE 100, SHELBY TWP, MI - 48315-3848 (mailing address contact number: 586-566-7870).

Location: 14049 E 13 Mile Rd Ste 1, Warren, MI, 48315-3848
person
Provider Profile Details
NPI Number
1558363119
Provider Name
Kyung Soo Kim
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
14049 E 13 Mile Rd Ste 1, Warren, MI, 48315-3848
Phone Number
586-415-0103
Fax Number
586-415-0108
Provider Enumeration Date
08/12/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
060-507-4551 01 MI BLUECROSSBLUESHIELD
OH-26467002 01 MI MEDICARE ID
institution
Provider Business Practice Location Address Details
Address
14049 E 13 Mile Rd Ste 1
City
State
Zip
48088-5876
Phone Number
586-415-0103
Fax Number
586-415-0108
person
Provider Business Mailing Address Details
Address
49050 Schoenherr Rd Ste 100
City
State
Zip
48315-3848
Phone Number
586-566-7870
Fax Number
586-566-7850
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
License No.
4301032265 (Michigan)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Nuclear Medicine
Speciality
Nuclear Cardiology
Taxonomy
License No.
4301032265 (Michigan)
Definition
A nuclear medicine physician who specializes in nuclear cardiology.
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