Misook Kim in Port Jefferson - Physician Assistant
Misook Kim - NPI 1205905056
Misook Kim is a Physician Assistant in Port Jefferson, New York. Misook Kim practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Misook Kim is 1205905056. The last update date is 2015-10-22.
Misook Kim's current location address is 75 N Country Rd, Port Jefferson, New York. You can contact this provider via phone number 6314731320 and fax number 6316867653. The mailing address for Misook Kim is 75 N Country Rd, Port Jefferson, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Misook Kim |
|---|---|
| Address | 75 N Country Rd, Port Jefferson, New York |
| Phone Number | 6314731320 |
| Fax Number | 6316867653 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1205905056 |
|---|---|
| Provider Enumeration Date | 2006-11-07 |
| Last Updated Date | 2015-10-22 |
Provider Mailing Address Detail
| Address | 75 N Country Rd |
|---|---|
| City | Port Jefferson |
| State | New York (NY) |
| Post Code | 117772119 |
| Phone Number | 6314731320 |
| Fax Number | 6316867653 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 9693 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Misook Kim?
The Misook Kim has been issued the NPI (National Provider Identifier) 1205905056 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Misook Kim located?
The Misook Kim is located at 75 N Country Rd, Port Jefferson, NY 117772119.
What is the Misook Kim's area of specialization and corresponding taxonomy classification?
The Misook Kim's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1205905056 to Misook Kim?
The Centers for Medicare & Medicaid Services assigned the 1205905056 to Misook Kim on 2006-11-07.
When was the information regarding Misook Kim, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Misook Kim, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-10-22.