Organization Name: | KIM ENT, P.C. |
NPI Number: | 1336386598 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KUN Z KIM (OWNER) |
Mailing Address: | 3042 Oakcliff Rd Suite 200 Doraville |
State: | GA US |
Postal Code: | 303402699 |
Phone Number: | 7704584255 |
Fax Number: | 7704584406 |
NPI Enumeration Date: | 01/09/2009 |
NPI Last Update Date: | 01/09/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 284300000X |
License Number: | 039608 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | Special Hospital |
Taxonomy Specialization: | |
Taxonomy Definition: | A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. |