Wang Ki Kim is a Addiction Medicine in Hamburg, New York. Wang Ki Kim practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Wang Ki Kim is 1649345349. The last update date is 2011-05-24.
Wang Ki Kim's current location address is 54425 Lakeshore Road, Hamburg, New York. You can contact this provider via phone number 7166273776 and fax number 7166271162. The mailing address for Wang Ki Kim is 54425 Lakeshore Road, Hamburg, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wang Ki Kim |
|---|---|
| Address | 54425 Lakeshore Road, Hamburg, New York |
| Phone Number | 7166273776 |
| Fax Number | 7166271162 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1649345349 |
|---|---|
| Provider Enumeration Date | 2006-11-21 |
| Last Updated Date | 2011-05-24 |
Provider Mailing Address Detail
| Address | 54425 Lakeshore Road |
|---|---|
| City | Hamburg |
| State | New York (NY) |
| Post Code | 14075 |
| Phone Number | 7166273776 |
| Fax Number | 7166271162 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 2084A0401X |
| Licence No | 1233901 |
|
Definition: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 69440206 | NY | LIONEL R JOHN CONTRACT HE | |
| 20290301 | NY | UNIVERA | |
| 1505718 | NY | INDEPENDENT HEALTH | |
| 5074651 | NY | BLUE CROSS | |
| 5074651 | NY | COMMUNITY BLUE | |
| 74651 | NY | BLUE SHIELD | |
| 1042076 | NY | FIDELIS CARE | |
| 69440206 | NY | CATTARAUGUS INDIAN RESERV | |
| 1429390 | NY | -- |
Post Comment/ Review Below
What is the Wang Ki Kim's 1649345349?
The Wang Ki Kim's NPI (National Provider Identifier) Number is 1649345349. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Wang Ki Kim's physical address?
The Wang Ki Kim is physically located at 54425 Lakeshore Road, in the city of Hamburg, NY, with the postal code 14075.
What is Wang Ki Kim's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Wang Ki Kim is Addiction Medicine, and the taxonomy classification code that categorizes this area of expertise is 2084A0401X.
On what date did the Wang Ki Kim receive its 1649345349 assignment from the Centers for Medicare & Medicaid Services?
The Wang Ki Kim was assigned its 1649345349 by the Centers for Medicare & Medicaid Services on 2006-11-21.
When was the information regarding Wang Ki Kim most recently updated?
The details pertaining to the Wang Ki Kim, including its address, specialty, and other relevant information, were last refreshed on 2011-05-24.
NPI Number: 1952305922
Address: 1111 Professional Blvd, Dalton, GA