Michael D Kim in Scranton - Addiction Medicine

Michael D Kim - NPI 1427002179

Michael D Kim is a Addiction Medicine in Scranton, Pennsylvania. Michael D Kim practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Michael D Kim is 1427002179. The last update date is 2021-03-10.

Michael D Kim's current location address is 802 Jefferson Ave, Scranton, Pennsylvania. You can contact this provider via phone number 5703481118 and fax number 5703481109. The mailing address for Michael D Kim is 802 Jefferson Ave, Scranton, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael D Kim
Address 802 Jefferson Ave, Scranton, Pennsylvania
Phone Number 5703481118
Fax Number 5703481109
Sole Proprietor N
Credentials D.O.

NPI Number Detail

NPI Number 1427002179
Provider Enumeration Date 2006-05-19
Last Updated Date 2021-03-10

Provider Mailing Address Detail

Address 802 Jefferson Ave
City Scranton
State Pennsylvania (PA)
Post Code 185101038
Phone Number 5703481118
Fax Number 5703481109

Provider's Primary Taxonomy Detail

Speciality Addiction Medicine
Taxonomy 2084A0401X
Licence No OS012236
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

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FAQs about Michael D Kim

What is the unique 10-digit identifier code issued to Michael D Kim by the Centers for Medicare & Medicaid Services?

The Michael D Kim has been assigned the NPI (National Provider Identifier) 1427002179 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you share the physical location details of Michael D Kim?

The Michael D Kim is situated at 802 Jefferson Ave, in the city of Scranton, state of PA, with the zip code 185101038.

What is the area of specialization for Michael D Kim, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Michael D Kim is Addiction Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 2084A0401X.

On what date did the Centers for Medicare & Medicaid Services assign the 1427002179 to Michael D Kim?

The Centers for Medicare & Medicaid Services assigned the 1427002179 to Michael D Kim on 2006-05-19.

As of what date were the details pertaining to Michael D Kim last refreshed?

The information related to the Michael D Kim, including its address, specialty, and other relevant details, was last updated on 2021-03-10.

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