Whalio Doctors

NPI 1356490734

Ki Wan Kim, MD

Practitioner Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Marietta, GA

Practice location

Address
61 Whitcher St NE STE 4120, Marietta, GA 30060
Phone
(770) 424-9732
Mailing address
61 Whitcher St NE STE 4120, Marietta, GA 30060-1179

Registered specialties (3)

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208G00000X Licence 82757 (GA)
Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence A90695 (CA)
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Allopathic & Osteopathic Physicians Taxonomy 208G00000X Licence 036127784 (IL)

Registry record

NPI
1356490734
Entity type
Individual
Sex (as registered)
Male
NPI issued
9 Jan 2007
Record last updated
16 Oct 2019

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.