Provider Demographics
NPI:1427589845
Name:KIM, WOIHWAN (MD)
Entity Type:Individual
Prefix:
First Name:WOIHWAN
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 1:10909 SYMINGTON CIR
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40241-1345
Mailing Address - Country:US
Mailing Address - Phone:502-472-3532
Mailing Address - Fax:
Practice Address - Street 1:6550 FANNIN ST STE 963
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2740
Practice Address - Country:US
Practice Address - Phone:713-486-4613
Practice Address - Fax:713-795-5566
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-27
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program