Active NPIIndividual provider

Byeongjik Kim

Student in an Organized Health Care Education/Training Program in Manchester, Connecticut

NPI Number1740863745
Practice location
194 Buckland Hills Dr, Manchester, CT 06042-8705
Fax
—
Last updated
April 28, 2021

Byeongjik Kim is a Student in an Organized Health Care Education/Training Program based in Manchester, CT. Byeongjik Kim practices in Manchester, CT. The NPI Number for Byeongjik Kim is 1740863745. The current practice location address for Byeongjik Kim is 194 Buckland Hills Dr, Manchester, CT 06042-8705 and can be reached out via phone at 860-644-0099.

Provider Profile Details

NPI Number
1740863745
Provider Name
Byeongjik Kim
Provider Entity Type
Individual
Gender
Male
Address
194 Buckland Hills Dr, Manchester, CT 06042-8705
Phone Number
860-644-0099
Sole Proprietor
No
Provider Enumeration Date
April 28, 2021
Last Update Date
April 28, 2021
Certification Date
April 28, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
194 Buckland Hills Dr
Manchester, CT 06042-8705
Zip
06042-8705
Phone Number
860-644-0099
Manchester, CT 06042Get directions →

Provider Business Mailing Address Details

Address
194 Buckland Hills Dr
Manchester, CT 06042-8705
City
Manchester
State
CT
Zip
06042-8705
Phone Number
860-644-0099

License Information

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 Byeongjik Kim?

The NPI number of Byeongjik Kim is 1740863745. It was assigned on April 28, 2021 and is currently active in the NPPES registry.

What is the specialty of Byeongjik Kim?

Byeongjik Kim is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).

Where does Byeongjik Kim practice?

The practice location is 194 Buckland Hills Dr, Manchester, CT 06042-8705. The office can be reached at 860-644-0099 (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 1740863745 directly on the NPPES registry website.

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