NPI 1780879114

Chung Kiel Kim

Organisation Orthopaedic Surgery Physician Valparaiso, IN

Practice location

Address: 2000 Roosevelt Rd Suite 104, Valparaiso, IN 46383-2800
Phone: (219) 464-3063
Fax: (219) 462-6448
Mailing address: 2000 Roosevelt Rd, Valparaiso, IN 46383-2800

Authorised official

Name: Chung Kiel Kim
Title: Owner
Phone: (219) 464-3063

Registered specialties

Orthopaedic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207X00000X Licence 01030918A (IN)

Other Orthopaedic Surgery providers in Indiana →

Registry record

NPI: 1780879114
Entity type: Organization
NPI issued: 10 Sep 2007
Record last updated: 10 Sep 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.