Provider Demographics
NPI:1730404138
Name:KIM, YUN WOONG (MD, PA)
Entity type:Individual
Prefix:DR
First Name:YUN
Middle Name:WOONG
Last Name:KIM
Suffix:
Gender:M
Credentials:MD, PA
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Mailing Address - Street 1:125 S CLARK ST STE 900
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60603-4043
Mailing Address - Country:US
Mailing Address - Phone:512-988-5355
Mailing Address - Fax:512-814-0726
Practice Address - Street 1:11207 N LAMAR BLVD STE B
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78753-3056
Practice Address - Country:US
Practice Address - Phone:512-649-2195
Practice Address - Fax:512-814-0726
Is Sole Proprietor?:No
Enumeration Date:2010-03-29
Last Update Date:2025-04-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXP4470207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX295447Medicare PIN