Provider Demographics
NPI:1497508253
Name:KIM, HUI UN (MD)
Entity type:Individual
Prefix:DR
First Name:HUI UN
Middle Name:
Last Name:KIM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 MEDICAL PARK RD STE 306
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29203-6839
Mailing Address - Country:US
Mailing Address - Phone:803-434-8198
Mailing Address - Fax:803-434-6104
Practice Address - Street 1:2 MEDICAL PARK RD STE 306
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29203-6839
Practice Address - Country:US
Practice Address - Phone:803-434-8198
Practice Address - Fax:803-434-6104
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-10
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCLL95242208600000X
SCMMD.95242LL390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery