Daniel Young Kim, DO

Pediatrics Physician · Durant, OK

Individual Active NPI

NPI number 1558990028

Practice location

430 Bryan Dr
Durant, OK 74701-3467
Phone
(580) 920-1980
Fax
(580) 920-9937

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NPI record

NPI
1558990028
Entity type
Individual (Type 1)
Enumeration date
April 6, 2020
Last updated
June 17, 2024
Certified
June 17, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X 7328 OK
Student in an Organized Health Care Education/Training Program 390200000X — —

Mailing address

4502 E 41st St
Tulsa, OK 74135-2536
Phone
(918) 619-4400
Fax
(918) 619-4334

About Dr. Kim

Daniel Young Kim, DO is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 430 Bryan Dr, Durant, OK 74701-3467. The NPI number 1558990028 was assigned on April 6, 2020 and the record was last updated on June 17, 2024.

Dr. Kim lists a license in the registry: #7328 (OK) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Daniel Young Kim, DO?

The NPI number is 1558990028.

What is the phone number of Dr. Kim?

The phone number listed for the practice location is (580) 920-1980.

Where is Dr. Kim located?

430 Bryan Dr, Durant, OK 74701-3467.

What is the taxonomy code for Dr. Kim?

The primary taxonomy code is 208000000X – Pediatrics Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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