Active NPIIndividual providerSole proprietor

Kyu-Han Kim, DO

Family Medicine in Cliffisde Park, New Jersey

NPI Number1215174941
Practice location
1 Towne Centre Drive, Cliffisde Park, NJ 07010
Fax
551-234-3034
Last updated
April 11, 2019

Kyu-Han Kim is a Family Medicine based in Cliffisde Park, NJ. Kyu-Han Kim practices in Cliffisde Park, NJ and has the professional credentials of DO. The NPI Number for Kyu-Han Kim is 1215174941 and holds a License No. 251600 (NY). The current practice location address for Kyu-Han Kim is 1 Towne Centre Drive, Cliffisde Park, NJ 07010 and can be reached out via phone at 512-343-0405 and via fax at 551-234-3034.

Provider Profile Details

NPI Number
1215174941
Provider Name
Kyu-Han Kim
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1 Towne Centre Drive, Cliffisde Park, NJ 07010
Phone Number
512-343-0405
Fax Number
551-234-3034
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
Yes
Other Names
-- Allan Kim, DO (Other Name)
Provider Enumeration Date
January 16, 2009
Last Update Date
April 11, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Towne Centre Drive
Cliffisde Park, NJ 07010
Zip
07010
Phone Number
512-343-0405
Fax Number
551-234-3034
Cliffisde Park, NJ 07010Get directions →

Provider Business Mailing Address Details

Address
1 Towne Centre Drive
Cliffisde Park, NJ 07010-1617
City
Cliffisde Park
State
NJ
Zip
07010-1617
Phone Number
551-234-3040

License Information

License Number
251600
License State
NY
Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kyu-Han Kim, DO?

The NPI number of Kyu-Han Kim, DO is 1215174941. It was assigned on January 16, 2009 and is currently active in the NPPES registry.

What is the specialty of Kyu-Han Kim, DO?

Kyu-Han Kim, DO is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NY under license number 251600.

Where does Kyu-Han Kim, DO practice?

The practice location is 1 Towne Centre Drive, Cliffisde Park, NJ 07010. The office can be reached at 512-343-0405 (phone) or 551-234-3034 (fax).

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 1215174941 directly on the NPPES registry website.

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