Lisa Ann Kim is a Clinical in Iowa City, Iowa. Lisa Ann Kim practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lisa Ann Kim is 1497722417. The last update date is 2011-05-02.
Lisa Ann Kim's current location address is 673 Westbury Drive, Iowa City, Iowa. You can contact this provider via phone number 3193566352 and fax number 3193582367. The mailing address for Lisa Ann Kim is 673 Westbury Drive, Iowa City, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Ann Kim |
|---|---|
| Address | 673 Westbury Drive, Iowa City, Iowa |
| Phone Number | 3193566352 |
| Fax Number | 3193582367 |
| Sole Proprietor | N |
| Credentials | M.A., L.I. |
NPI Number Detail
| NPI Number | 1497722417 |
|---|---|
| Provider Enumeration Date | 2006-03-08 |
| Last Updated Date | 2011-05-02 |
Provider Mailing Address Detail
| Address | 673 Westbury Drive |
|---|---|
| City | Iowa City |
| State | Iowa (IA) |
| Post Code | 522452723 |
| Phone Number | 3193566352 |
| Fax Number | 3193582367 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | O5673 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 225545000 | IA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Lisa Ann Kim by the Centers for Medicare & Medicaid Services (CMS)?
The Lisa Ann Kim has been assigned the NPI (National Provider Identifier) 1497722417. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Lisa Ann Kim located?
The Lisa Ann Kim is located at 673 Westbury Drive, Iowa City, IA 522452723.
On what date did the Centers for Medicare & Medicaid Services issue the 1497722417 to Lisa Ann Kim?
The Lisa Ann Kim received its 1497722417 assignment from the Centers for Medicare & Medicaid Services on 2006-03-08.
When was the Lisa Ann Kim's information last updated?
The Lisa Ann Kim's information was last updated on 2011-05-02.
When was the information pertaining to Lisa Ann Kim most recently updated or revised?
The details related to Lisa Ann Kim, including its address, specialty, and other relevant information, were last updated or revised on 2011-05-02.
NPI Number: 1699778829
Address: 1200 Oakleaf Way, Altoona, WI