National Provider Identifier
Michael Joon Kim, M.D.
Michael Joon Kim, M.D. is listed in the NPPES registry with a primary specialty of Surgery Physician in Rochester, NY and a listed phone number of (585) 922-4840.
Profile Overview
- NPI
- 1487667374
- Provider Type
- Individual
- Primary Specialty
- Surgery Physician
- Enumeration Date
- August 14, 2006
- Last Updated
- January 16, 2014
Practice Location
- 1415 Portland Ave
- Rochester, NY 14621-3038
Phone: (585) 922-4840
Specialties
- Surgery Physician (208600000X)
Full Record
- NPI
- 1487667374
- Entity Type
- Individual
- Last Name
- Kim
- First Name
- Michael
- Middle Name
- Joon
- Name Prefix
- Dr.
- Credential
- M.D.
- Mailing Street Address
- 1415 Portland Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14621-3038
- Mailing Country
- US
- Mailing Phone
- (585) 922-4840
- Mailing Fax
- (585) 922-3950
- Practice Street Address
- 1415 Portland Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-3038
- Practice Country
- US
- Practice Phone
- (585) 922-4840
- Practice Fax
- (585) 922-3950
- Enumeration Date
- August 14, 2006
- Last Updated
- January 16, 2014
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Surgery Physician (208600000X)
- Other Identifiers
- 03256008/RGH (NY), 03635045 (NY)