Mary T Kim in Shreveport - Plastic And Reconstructive Surgery
Mary T Kim - NPI 1033192828
Mary T Kim is a Plastic And Reconstructive Surgery in Shreveport, Louisiana. Mary T Kim practices all healthcare services and medical treatments related to Plastic And Reconstructive Surgery. The NPI Number for Mary T Kim is 1033192828. The last update date is 2009-05-18.
Mary T Kim's current location address is 1501 Kings Hwy, Shreveport, Louisiana. You can contact this provider via phone number 3186756154. The mailing address for Mary T Kim is 1501 Kings Hwy, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary T Kim |
|---|---|
| Address | 1501 Kings Hwy, Shreveport, Louisiana |
| Phone Number | 3186756154 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1033192828 |
|---|---|
| Provider Enumeration Date | 2005-11-25 |
| Last Updated Date | 2009-05-18 |
Provider Mailing Address Detail
| Address | 1501 Kings Hwy |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711034228 |
| Phone Number | 3186756154 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Plastic And Reconstructive Surgery |
|---|---|
| Taxonomy | 2086S0122X |
| Licence No | MD200563 |
|
Definition: A surgeon who specializes in plastic and reconstructive surgery. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1581518 | LA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Mary T Kim by the Centers for Medicare & Medicaid Services?
The Mary T Kim has been issued the NPI (National Provider Identifier) 1033192828 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Mary T Kim?
The Mary T Kim is physically situated at 1501 Kings Hwy, in the city of Shreveport, state of LA, with the postal code 711034228.
What is Mary T Kim's area of expertise and its corresponding taxonomy classification?
The Mary T Kim's field of specialization is Plastic And Reconstructive Surgery, and it falls under the taxonomy code 2086S0122X, which categorizes healthcare providers based on their areas of practice.
On what date did the Mary T Kim receive the assignment of its 1033192828 from the Centers for Medicare & Medicaid Services?
The Mary T Kim was issued its 1033192828 by the Centers for Medicare & Medicaid Services on 2005-11-25.
When was the information regarding Mary T Kim, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mary T Kim, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2009-05-18.
NPI Number: 1730182858
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