Benjamin Kim
Medical Specialty
Professional ID
- NPI: 1487681102
- PECOS ID: 3173694783
- Enrollment ID: I20100515000143
- Credential(MD, DO, DPM):
- Medical School: Columbia University College Of Physicians And Surgeons
- Medical School Graduation Year: 1978
Hospital Service
- Hospital CCN1: 460047
- Business Name (LBN)1: St Marks Hospital
Medical Practices
- Organization Name: Utah Cancer Institute, Llc
- Group Practice ID assigned by PECOS: 2062540867
- Number of Group Practice member: 0
Location
- Address1: 1220 E 3900 S
- Address2: 4f
- City: Salt Lake City
- State: Utah
- Zip Code: 84124
- Phone Number: (801)268-8223
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):