Provider Demographics
NPI:1912319047
Name:KIM, ALEXANDER YOUNGJOON (MD)
Entity type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:YOUNGJOON
Last Name:KIM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:601 5TH ST S STE C520
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33701-4804
Mailing Address - Country:US
Mailing Address - Phone:727-767-8491
Mailing Address - Fax:727-767-8270
Practice Address - Street 1:501 6TH AVE S STE C520
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33701-4634
Practice Address - Country:US
Practice Address - Phone:727-767-8491
Practice Address - Fax:727-767-8270
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-23
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME132543207SG0201X, 207SG0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207SG0201XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Genetics (M.D.)Group - Multi-Specialty