Moon Ja Kim is a Psychiatry in Milwaukee, Wisconsin. Moon Ja Kim practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Moon Ja Kim is 1518074046. The last update date is 2023-03-07.
Moon Ja Kim's current location address is 3301 W Forest Home Ave, Milwaukee, Wisconsin. You can contact this provider via phone number 4146476326 and fax number 4146718860. The mailing address for Moon Ja Kim is 3301 W Forest Home Ave, Milwaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Moon Ja Kim |
|---|---|
| Address | 3301 W Forest Home Ave, Milwaukee, Wisconsin |
| Phone Number | 4146476326 |
| Fax Number | 4146718860 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1518074046 |
|---|---|
| Provider Enumeration Date | 2006-08-23 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 3301 W Forest Home Ave |
|---|---|
| City | Milwaukee |
| State | Wisconsin (WI) |
| Post Code | 532152843 |
| Phone Number | 4146476326 |
| Fax Number | 4146718860 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | 35449 |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 32463200 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Moon Ja Kim by the Centers for Medicare & Medicaid Services?
The Moon Ja Kim has been assigned the NPI (National Provider Identifier) 1518074046. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Moon Ja Kim located?
The Moon Ja Kim is located at 3301 W Forest Home Ave, Milwaukee, WI 532152843.
What is the Moon Ja Kim's area of specialization and corresponding taxonomy classification?
The Moon Ja Kim's specialty field is Psychiatry, and it falls under the taxonomy code 2084P0800X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1518074046 to Moon Ja Kim?
The Moon Ja Kim received its 1518074046 assignment from the Centers for Medicare & Medicaid Services on 2006-08-23.
When was the information pertaining to Moon Ja Kim most recently updated or revised?
The details related to Moon Ja Kim, including its address, specialty, and other relevant information, were last updated or revised on 2023-03-07.