Search › Michigan › 1223G0001X
Pyo Jae Kim
NPI 1659991107 · on the registry since 2020 · sole proprietor
Practice
- Address
- 805 Sandalwood Dr
Troy, MI 48085 - Phone
- (213) 400-2614
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 390200000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-01-19
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 Michigan