Provider Demographics
NPI:1376610766
Name:KIM, YUHONG (MD)
Entity Type:Individual
Prefix:DR
First Name:YUHONG
Middle Name:
Last Name:KIM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6795 E TENNESSEE AVE STE 250
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80224-1609
Mailing Address - Country:US
Mailing Address - Phone:303-320-6761
Mailing Address - Fax:
Practice Address - Street 1:2100 HUMBOLDT ST APT 308
Practice Address - Street 2:2054 FRANKLIN ST, CPMG KAISER FRANKLIN MEDICAL CENTER
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80205-5421
Practice Address - Country:US
Practice Address - Phone:303-380-3541
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCK11320207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
COCK11320Medicare ID - Type Unspecified
D24048Medicare UPIN