Young I Kim, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

18236 Issued in WI

Practice address

833 S Iowa St
Suite 106
Dodgeville, WI 53533

Phone

(608) 935-9335

Fax

(608) 935-2500

NPI assigned

Jul 17, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264118400000",
    "number": "1063430593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 S IOWA ST",
            "address_2": "SUITE 106",
            "city": "DODGEVILLE",
            "state": "WI",
            "postal_code": "53533",
            "telephone_number": "608-935-9335",
            "fax_number": "608-935-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 S IOWA ST",
            "address_2": "SUITE 106",
            "city": "DODGEVILLE",
            "state": "WI",
            "postal_code": "53533",
            "telephone_number": "608-935-9335",
            "fax_number": "608-935-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "YOUNG",
        "middle_name": "I",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2010-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WI",
            "license": "18236",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WI",
            "license": "18236",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31090600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Wilhau Karls Niehaus, P.T.A.
• Krisann M Karls
• Caitlyn Kastenholz
• Elyse W Kastner, RDH
• Rachel R Keith, DO
• Dillon Jared Kirsch
• Nicole M Klaas, APNP
• Patrick John Klein, APNP
• Crystal K Knapp, RRT
• Brett W Knautz, DPT

• Surgery Physician in Dodgeville, WI
• Providers in Dodgeville, WI by specialty
• Surgery Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.