Male or Other

Dr. Myung-sup Kim M.D.

Diagnostic Radiology Physician in Cumberland, MD(View on Map)

Full Name

Dr. Myung-sup Kim M.D.

NPI Number

1306849492

NPI Type

Individual Provider

Gender

Male

Enumeration Date

05/23/2005

Licenses

State

Maryland

License Number

D26261

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 808
952 SETON DR

City

Cumberland
Cumberland

State

MD
MD

Postal Code

21501-0808
21502-1950

Country

US
US

Telephone Number

(301) 724-1646
(301) 777-3522

Identifiers

Identifier

J2480003
2001896000
0117502000
526991100
S3660001
0010496230
001708869
J2490003

Identifier State

MD
WV
WV
MD
MD
PA
WV
MD

Identifier Issuer

GHMSI
Unknown
Unknown
Unknown
GHMSI
Unknown
MT ST BLUE SHIELD
GHMSI

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/20/2021

Provider Address

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Herbert Lambert M.D.

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