Whalio Doctors

NPI 1467607416

Choon-Man Joseph Kim, MD

Practitioner Nuclear Medicine Physician Jackson, MS

Practice location

Address
1500 East Woodrow Wilson Drive Radiology Service, G.V. Montgomery VA Medical Center, Jackson, MS 39216
Phone
(601) 362-4471
Fax
(601) 364-1589
Mailing address
123 Mullherrin Drive, Madison, MS 39110

Registered specialties (2)

Nuclear Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207U00000X Licence 37542 (MI)
Diagnostic Radiology Physician
Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence NO A-30560 (CA)

Registry record

NPI
1467607416
Entity type
Individual
Sex (as registered)
Male
NPI issued
18 Nov 2008
Record last updated
18 Nov 2008

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.