IndividualActive
Chang Yong Kim, DPM
NPI 1902330400 · Podiatrist · Rockville, MD
Provider details
- NPI number
- 1902330400
- Entity type
- Individual
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- No
- License
- 01780 (MD)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Podiatric Medicine & Surgery Service Providers
Practice location
4701 Randolph Rd
Rockville, MD 20852-2257
Phone: (240) 206-6274
Fax: (240) 599-4344
Approximate (ZIP-level) locationGet directions
Mailing address
4701 Randolph Rd Ste 103
Rockville, MD 20852-2260
Registry dates
- Enumerated
- 2017-04-12
- Last updated
- 2025-06-14
- Certified
- 2025-06-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.