IndividualActive
Moon Joo Kim, MD
NPI 1255825469 · Anatomic Pathology & Clinical Pathology Physician · Pocatello, ID
Provider details
- NPI number
- 1255825469
- Entity type
- Individual
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- M-17400 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2431 Andrew St
Pocatello, ID 83201-8000
Phone: (281) 798-2210
Approximate (ZIP-level) locationGet directions
Mailing address
2431 Andrew St
Pocatello, ID 83201-8000
Registry dates
- Enumerated
- 2018-06-20
- Last updated
- 2024-05-22
- Certified
- 2024-05-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.