NPI 1427002179 DR. MICHAEL D KIM D.O. SCRANTON PA. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Dr. Michael D Kim - NPI: 1427002179

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: DR. MICHAEL D KIM
NPI Number: 1427002179
Entity Type Code: Individual (1)
Gender: M
Credentials: D.O.
License Number: OS012236
Business Practice Address: 802 Jefferson Ave
5th Floor Scranton, PA - 185101038
Business Phone Number: 5703481118
Business Fax Number: 5703481109
Mailing Address: 802 Jefferson Ave, 5th Floor
SCRANTON
State: PA
Postal Code: 185101038
Phone Number: 5703481118
Fax Number: 5703481109
NPI Enumeration Date: 05/19/2006
NPI Last Update Date: 04/10/2014
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 2084A0401X
License Number: OS012236
Healthcare Provider Taxonomy:
(Secondary)
Y
State: PA
Taxonomy Type: Allopathic & Osteopathic Physicians
Taxonomy Classification: Psychiatry & Neurology
Taxonomy Specialization: Addiction Medicine
Taxonomy Definition:
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine


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