Chong Kim
Student in an Organized Health Care Education/Training Program in Hyannis, Massachusetts
1104410364- Practice location
- 735 Attucks Ln, Hyannis, MA 02601-1867
- Phone
- 508-778-5420
- Fax
- —
- Last updated
- February 26, 2021
Chong Kim is a Student in an Organized Health Care Education/Training Program based in Hyannis, MA. Chong Kim practices in Hyannis, MA. The NPI Number for Chong Kim is 1104410364. The current practice location address for Chong Kim is 735 Attucks Ln, Hyannis, MA 02601-1867 and can be reached out via phone at 508-778-5420.
Provider Profile Details
- NPI Number
- 1104410364
- Provider Name
- Chong Kim
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 735 Attucks Ln, Hyannis, MA 02601-1867
- Phone Number
- 508-778-5420
- Primary Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- February 26, 2021
- Last Update Date
- February 26, 2021
- Certification Date
- February 26, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 735 Attucks Ln
Hyannis, MA 02601-1867 - City
- Hyannis
- State
- Massachusetts
- Zip
- 02601-1867
- Phone Number
- 508-778-5420
Provider Business Mailing Address Details
- Address
- 1505 Cheshire CT
Lawrenceville, GA 30043-6514 - City
- Lawrenceville
- State
- GA
- Zip
- 30043-6514
- Phone Number
- 678-333-4281
License Information
- Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Student in an Organized Health Care Education/Training Program providers near Hyannis, MA
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Frequently Asked Questions
What is the NPI number of Chong Kim?
The NPI number of Chong Kim is 1104410364. It was assigned on February 26, 2021 and is currently active in the NPPES registry.
What is the specialty of Chong Kim?
Chong Kim is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).
Where does Chong Kim practice?
The practice location is 735 Attucks Ln, Hyannis, MA 02601-1867. The office can be reached at 508-778-5420 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104410364 directly on the NPPES registry website.