person
Dr. John Raphael Kim, MD
Diagnostic Radiology Physician in Fort Wayne, Indiana
NPI 1710958848

John Raphael Kim is a Diagnostic Radiology Physician based in Fort Wayne, IN and is specialized in Diagnostic Radiology. John Raphael Kim practices in Fort Wayne, IN and has the professional credentials of MD. The NPI Number for John Raphael Kim is 1710958848 and holds a License No. 10142685 (Indiana).

The current practice location address for John Raphael Kim is 6119 W Jefferson Blvd, Fort Wayne, IN and can be reached out via phone at 260-432-1568 and via fax at 260-432-4946.

Location: 6119 W Jefferson Blvd, Fort Wayne, IN, 46804-3072
person
Provider Profile Details
NPI Number
1710958848
Provider Name
John Raphael Kim
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
6119 W Jefferson Blvd, Fort Wayne, IN, 46804-3072
Phone Number
260-432-1568
Fax Number
260-432-4946
Provider Enumeration Date
01/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300077566 01 IN MEDICARE RAILROAD
0983280 05 OH
300039257 01 IN MEDICARE RAILROAD
100376180 05 IN
institution
Provider Business Practice Location Address Details
Address
6119 W Jefferson Blvd
City
State
Zip
46804-3072
Phone Number
260-432-1568
Fax Number
260-432-4946
person
Provider Business Mailing Address Details
Address
6119 W Jefferson Blvd
City
State
Zip
46804-3072
Phone Number
260-432-1568
Fax Number
260-432-4946
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
10142685 (Indiana)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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