Provider Demographics
NPI:1013920941
Name:YU, KUN KIL (MD)
Entity Type:Individual
Prefix:
First Name:KUN
Middle Name:KIL
Last Name:YU
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:19189 W 10 MILE RD
Mailing Address - Street 2:STE 200
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-2453
Mailing Address - Country:US
Mailing Address - Phone:248-948-7985
Mailing Address - Fax:248-948-9031
Practice Address - Street 1:19189 W 10 MILE RD
Practice Address - Street 2:STE 200
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-2453
Practice Address - Country:US
Practice Address - Phone:248-948-7985
Practice Address - Fax:248-948-9031
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-14
Last Update Date:2012-07-23
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Provider Licenses
StateLicense IDTaxonomies
MI4301043091207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIB48030Medicare UPIN