Provider Demographics
NPI:1750606653
Name:KIM-CHANG, JULIE JOO YEON (MD)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:JOO YEON
Last Name:KIM-CHANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JOO YEON
Other - Middle Name:
Other - Last Name:KIM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:422 EUPHORIA CIR
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27519-5556
Mailing Address - Country:US
Mailing Address - Phone:347-804-3650
Mailing Address - Fax:
Practice Address - Street 1:203 RESEARCH DRIVE DUKE UNIVERSITY MEDICAL CENTER
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710-3307
Practice Address - Country:US
Practice Address - Phone:919-668-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0116022176208000000X
NC2014-00311207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics