NPI 1134129679

Samuel Chan Kim, MD

Practitioner Urology Physician Lafayette, IN

Practice location

Address: 5165 McCarty Ln, Lafayette, IN 47905-8764
Phone: (765) 448-8000
Fax: (765) 448-7619
Mailing address: 250 N Shadeland Ave, Indianapolis, IN 46219-4959

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 01058979A (IN)

Other Urology providers in Indiana →

Registry record

NPI: 1134129679
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Jul 2005
Record last updated: 11 Aug 2023

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.