Provider Demographics
NPI:1881033223
Name:KIM, SANG IN (MD)
Entity type:Individual
Prefix:DR
First Name:SANG
Middle Name:IN
Last Name:KIM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1444 S POTOMAC ST STE 240
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-4509
Mailing Address - Country:US
Mailing Address - Phone:720-443-0579
Mailing Address - Fax:443-572-4256
Practice Address - Street 1:1444 S POTOMAC ST STE 240
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-4509
Practice Address - Country:US
Practice Address - Phone:720-443-0579
Practice Address - Fax:443-572-0579
Is Sole Proprietor?:No
Enumeration Date:2013-06-19
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
COCDRH.0072156207N00000X
IN01074680A207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology