Kook Kan Kim in Philadelphia - General Practice
Kook Kan Kim - NPI 1932140084
Kook Kan Kim is a General Practice in Philadelphia, Pennsylvania. Kook Kan Kim practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kook Kan Kim is 1932140084. The last update date is 2007-07-08.
Kook Kan Kim's current location address is 5438 N Lawrence St, Philadelphia, Pennsylvania. You can contact this provider via phone number 2152242110 and fax number 2152246452. The mailing address for Kook Kan Kim is 5438 N Lawrence St, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kook Kan Kim |
|---|---|
| Address | 5438 N Lawrence St, Philadelphia, Pennsylvania |
| Phone Number | 2152242110 |
| Fax Number | 2152246452 |
| Sole Proprietor | X |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1932140084 |
|---|---|
| Provider Enumeration Date | 2006-06-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5438 N Lawrence St |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191202804 |
| Phone Number | 2152242110 |
| Fax Number | 2152246452 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 22669 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10238 | PA | AETNA PROVIDER NUMBER |
Post Comment/ Review Below
What is the Kook Kan Kim's 1932140084?
The Kook Kan Kim's NPI (National Provider Identifier) Number is 1932140084. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Kook Kan Kim is located?
The Kook Kan Kim is situated at the following address: 5438 N Lawrence St, Philadelphia, PA, 191202804.
What is the area of specialization for Kook Kan Kim, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kook Kan Kim is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
On what date did Kook Kan Kim receive its 1932140084 assignment from the Centers for Medicare & Medicaid Services?
The Kook Kan Kim was assigned its 1932140084 on 2006-06-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Kook Kan Kim last refreshed?
The information related to the Kook Kan Kim, including its address, specialty, and other relevant details, was last updated on 2007-07-08.