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Hyonju Kim, MD
Student in an Organized Health Care Education/Training Program in Ithaca, New York
NPI 1578143475

Hyonju Kim is a Student in an Organized Health Care Education/Training Program based in Ithaca, NY. Hyonju Kim practices in Ithaca, NY and has the professional credentials of MD. The NPI Number for Hyonju Kim is 1578143475 and holds a License No. (New York).

The current practice location address for Hyonju Kim is 101 Dates Dr, Ithaca, NY and can be reached out via phone at 607-339-0494.

Location: 101 Dates Dr, Ithaca, NY, 14850-1383
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578143475
Provider Name
Hyonju Kim
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
101 Dates Dr, Ithaca, NY, 14850-1383
Phone Number
607-339-0494
Fax Number
Provider Enumeration Date
04/13/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
101 Dates Dr
City
Ithaca
State
New York
Zip
14850-1383
Phone Number
607-339-0494
Fax Number
person
Provider Business Mailing Address Details
Address
101 Dates Dr
City
Ithaca
State
New York
Zip
14850-1383
Phone Number
607-339-0494
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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