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Search › Missouri › 1223P0221X

Dongyeon Kim

NPI 1295224418 · on the registry since 2018 · sole proprietor

Practice

Address
1780 Old Highway 50 E
Union, MO 63084
Phone
(639) 695-6055
Organisation at this address
Genoa Healthcare Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
73

Registry record

Primary taxonomy
1223P0221X
1223P0221X
Also registered as
122300000X
1223P0221X
390200000X
Licence states on file
CA, MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-04-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri