Provider Demographics
NPI:1124091764
Name:KIM, SUN YONG (MD)
Entity type:Individual
Prefix:DR
First Name:SUN
Middle Name:YONG
Last Name:KIM
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2817 REILLY ROAD MCXC-COD CREDENTIALS
Mailing Address - Street 2:WOMACK ARMY MEDICAL CENTER
Mailing Address - City:FORT BRAGG
Mailing Address - State:NC
Mailing Address - Zip Code:28310
Mailing Address - Country:US
Mailing Address - Phone:910-907-8922
Mailing Address - Fax:910-907-6069
Practice Address - Street 1:DEPARTMENT OF THE ARMY WAMC STOP A 2817 REILLY ROAD
Practice Address - Street 2:ATTN: SUN YONG KIM MCXC-RAD
Practice Address - City:FORT BRAGG
Practice Address - State:NC
Practice Address - Zip Code:28310-7301
Practice Address - Country:US
Practice Address - Phone:910-907-6993
Practice Address - Fax:910-907-6985
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-13
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
PAMD048074L207U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207U00000XAllopathic & Osteopathic PhysiciansNuclear Medicine