Active NPIIndividual providerSole proprietor

Dr. Connie T Kim, MD

Pediatrics in Peabody, Massachusetts

NPI Number1558708917
Practice location
10 Centennial Dr, Peabody, MA 01960-7938
Fax
978-535-2907
Last updated
August 17, 2016

Connie Tran Kim is a Pediatrics based in Peabody, MA. Connie Tran Kim practices in Peabody, MA and has the professional credentials of MD. The NPI Number for Connie Tran Kim is 1558708917 and holds a License No. 265949 (MA). The current practice location address for Connie Tran Kim is 10 Centennial Dr, Peabody, MA 01960-7938 and can be reached out via phone at 978-535-1110 and via fax at 978-535-2907.

Provider Profile Details

NPI Number
1558708917
Provider Name
Connie Tran Kim
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
10 Centennial Dr, Peabody, MA 01960-7938
Phone Number
978-535-1110
Fax Number
978-535-2907
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
Yes
Provider Enumeration Date
May 25, 2013
Last Update Date
August 17, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
10 Centennial Dr
Peabody, MA 01960-7938
Zip
01960-7938
Phone Number
978-535-1110
Fax Number
978-535-2907
Peabody, MA 01960Get directions →

Provider Business Mailing Address Details

Address
10 Centennial Dr
Peabody, MA 01960-7938
City
Peabody
State
MA
Zip
01960-7938
Phone Number
978-535-1110
Fax Number
978-535-2907

License Information

License Number
265949
License State
MA
Taxonomy
Pediatrics · 208000000X · 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 Dr. Connie T Kim, MD?

The NPI number of Dr. Connie T Kim, MD is 1558708917. It was assigned on May 25, 2013 and is currently active in the NPPES registry.

What is the specialty of Dr. Connie T Kim, MD?

Dr. Connie T Kim, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in MA under license number 265949.

Where does Dr. Connie T Kim, MD practice?

The practice location is 10 Centennial Dr, Peabody, MA 01960-7938. The office can be reached at 978-535-1110 (phone) or 978-535-2907 (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 1558708917 directly on the NPPES registry website.

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