John B. Kim is a Clinical in Ewa Beach, Hawaii. John B. Kim practices all healthcare services and medical treatments related to Clinical. The NPI Number for John B. Kim is 1417990466. The last update date is 2009-02-12.
John B. Kim's current location address is 91-2301 Fort Weaver Rd, Ewa Beach, Hawaii. You can contact this provider via phone number 8086718511 and fax number 8086768035. The mailing address for John B. Kim is 91-2301 Fort Weaver Rd, Ewa Beach, Hawaii. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John B. Kim |
|---|---|
| Address | 91-2301 Fort Weaver Rd, Ewa Beach, Hawaii |
| Phone Number | 8086718511 |
| Fax Number | 8086768035 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1417990466 |
|---|---|
| Provider Enumeration Date | 2006-06-14 |
| Last Updated Date | 2009-02-12 |
Provider Mailing Address Detail
| Address | 91-2301 Fort Weaver Rd |
|---|---|
| City | Ewa Beach |
| State | Hawaii (HI) |
| Post Code | 967063602 |
| Phone Number | 8086718511 |
| Fax Number | 8086768035 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCSW-3089 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 55482501 | HI | ALOHACARE | |
| 248385 | HI | HMSA | |
| 788861 | HI | UNIVERSITY HEALTH ALLIANC | |
| 990298651-96706 | HI | TRICARE | |
| 554825 | HI | -- |
Post Comment/ Review Below
What is the John B. Kim's unique identification number?
The John B. Kim has been assigned the NPI (National Provider Identifier) Number 1417990466 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where John B. Kim's facilities are situated?
The facilities of John B. Kim are physically located at the following address: 91-2301 Fort Weaver Rd, Ewa Beach, HI, 967063602.
What is John B. Kim's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The John B. Kim's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1417990466 to John B. Kim?
The John B. Kim received its 1417990466 assignment from the Centers for Medicare & Medicaid Services on 2006-06-14.
As of what date was the information regarding John B. Kim, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to John B. Kim, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-02-12.