Provider Demographics
NPI:1326282757
Name:KIM, MYUNG WOON (MD)
Entity Type:Individual
Prefix:
First Name:MYUNG
Middle Name:WOON
Last Name:KIM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:HWY 49 W
Mailing Address - Street 2:MSP U42 PO DRAWER E
Mailing Address - City:PARCHMAN
Mailing Address - State:MS
Mailing Address - Zip Code:38738-0000
Mailing Address - Country:US
Mailing Address - Phone:662-745-6611
Mailing Address - Fax:662-745-4574
Practice Address - Street 1:HWY 49 W
Practice Address - Street 2:MSP U42
Practice Address - City:PARCHMAN
Practice Address - State:MS
Practice Address - Zip Code:38738-0000
Practice Address - Country:US
Practice Address - Phone:662-745-6611
Practice Address - Fax:662-745-4574
Is Sole Proprietor?:No
Enumeration Date:2009-04-29
Last Update Date:2024-05-11
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Provider Licenses
StateLicense IDTaxonomies
MS360-L208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice