MOON-CHUL KIM MD
NPI 1962583112
General Practice in Ann Arbor, MI

Q: What is Moon-chul Kim's NPI number?

The NPI number for Moon-chul Kim is 1962583112. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Q: What is Moon-chul Kim's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Moon-chul Kim was last updated on May 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 17, 2006

1764 STONEBRIDGE DR S, ANN ARBOR, MI 48108(734) 623-0238 Get Directions Write a Review

NPPES record last updated: May 16, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Moon-chul Kim Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOON-CHUL KIM MD (NPI 1962583112) is an individual general practice provider in Ann Arbor, Michigan, licensed in Michigan (4301079022) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1962583112

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameMOON-CHUL KIMCredential: MD

Location Address1764 STONEBRIDGE DR SAnn Arbor, MI 48108-8569

Mailing Address1764 Stonebridge Dr SAnn Arbor, MI 48108-8569 · (734) 623-0238

Phone(734) 623-0238

Sole ProprietorNo

Enumeration DateOctober 17, 2006

Last NPPES UpdateMay 16, 2015

✔ NPI 1962583112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in MI · 4301079022

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedRadiology · Pediatric RadiologyTaxonomy 2085P0229X · License 4301079022 (MI)

1764 STONEBRIDGE DR S, Ann Arbor, MI 48108

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Other Identifiers 3

Medicare UPINH56053MI

Medicare ID-Type Unspecified0H17609353MI

Medicaid4347075MI

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Moon-chul Kim's NPI number?

The NPI number for Moon-chul Kim is 1962583112. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is Moon-chul Kim located?

Moon-chul Kim practices at 1764 Stonebridge Dr S, Ann Arbor, MI 48108. The listed phone number is (734) 623-0238.

What is Moon-chul Kim's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Moon-chul Kim was last updated on May 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.