Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. YONG CHAN KIM, M.D.
DeactivatedMR. YONG CHAN KIM, M.D. is a Internal Medicine healthcare provider located in KINGMAN, Arizona. NPI 1104563675 is deactivated in the NPPES registry. Verify at CMS.
Internal Medicine · KINGMAN, AZ
This NPI has been deactivated.
The record was deactivated on January 23, 2023.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1104563675
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 17, 2022 (0.68767123287671 yrs)
- Last Updated
- Aug 26, 2025
- Deactivated
- Jan 23, 2023
- License
-
75846 (AZ)
Practice Information
- Address
-
3269 N STOCKTON HILL RDKINGMAN, AZ, 864093619Browse AZ providers · Browse ZIP 86409
- Phone
- 9286818577
- Primary Specialty
-
Internal Medicine
207R00000X
- Additional Specialty
- Internal Medicine
Other Internal Medicine Providers in KINGMAN, AZ
| Name | Credential | NPI |
|---|---|---|
| SUNGNAM JOE | M.D. | 1376538389 |
| JAMES CRUEY SPENCER | M.D. | 1578553145 |
| ANNIE MYOWIN CHANG-BURNS | M.D. | 1427048008 |
| MARK C CARTER | M.D. | 1760456032 |
| DR. CHRISTINE MARIE DAVIS | M.D.. | 1780659201 |
| SHEILA R MANE | MD | 1720009814 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.