KRISTIN KIM (NPI# 1093109514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093109514 |
| Entity Type | Individual |
| Full Name | KRISTIN KIM |
| Other Name | KRISTIN BOHL |
| Credential | M.D. |
| Practice Address |
1130 W Michigan St Fesler Hall 204 Indianapolis IN 46202-5209 |
| Practice Telephone | 7132744343 |
| Mailing Telephone | 7132744343 |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2020-08-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 22 S Greene St # S11c, Baltimore, MD 212011544 | 4103281239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306499157 | Kristin Joo Eun Kim | Nurse Practitioner | 3108 Midway Rd Ste 105, Plano, TX 75093-8470 | 2019-07-22 |
| 1710979984 | Kristin Cromwell Kim | Psychologist | 11101 W Lincoln Ave, Rogers Memorial Hospital, West Allis, WI 53227-1133 | 2005-08-16 |
| 1073161147 | Kristin Kim | Dentist | 4881 Sugar Maple Dr, Dayton, OH 45433-5529 | 2019-08-30 |
| 1003340548 | Kristin Kim | Pharmacist | 2046 Ne Waldo Rd Ste 3100, Gainesville, FL 32609-8977 | 2017-04-11 |
| 1912394214 | Kristin Kim | Dentist | 904 Kempsville Rd, Suite 103, Virginia Beach, VA 23464-5571 | 2015-04-24 |
| 1447502976 | Kristin Seung Ah Kim | Pharmacist | 708 E Pipeline Rd, Hurst, TX 76053-6011 | 2012-10-08 |
| 1871627406 | Kristin Mcadams Kim | Emergency Medicine | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2007-03-15 |
| Street Address |
1130 W MICHIGAN ST FESLER HALL 204 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46202-5209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679734032 | Corinna Jennifer Yu | Anesthesiology | 1130 W Michigan St, Suite 204, Indianapolis, IN 46202-5209 | 2008-06-18 |
| 1548887714 | Isaac Gerardo Leon-acuna | Student in an Organized Health Care Education/Training Program | 1130 W Michigan St, Indianapolis, IN 46202-5209 | 2020-07-02 |
| 1851910509 | Sebastian Ruiz | Student in an Organized Health Care Education/Training Program | 1130 W Michigan St, Indianapolis, IN 46202-5209 | 2020-04-13 |
| 1598227902 | Alyssa M Cooke | Student in an Organized Health Care Education/Training Program | 1130 W Michigan St, Indianapolis, IN 46202-5209 | 2019-04-03 |
| 1023502317 | Kutaiba Nazif | Student in an Organized Health Care Education/Training Program | 1130 W Michigan St, Indianapolis, IN 46202-5209 | 2018-06-19 |
| 1588161459 | John David Hoover | Student in an Organized Health Care Education/Training Program | 1130 W Michigan St, Indianapolis, IN 46202-5209 | 2018-04-09 |
| 1558866269 | Sean Cochran | Student in an Organized Health Care Education/Training Program | 1130 W Michigan St, Fesler Hall 204, Indianapolis, IN 46202 | 2018-03-26 |
| 1639608102 | Kolin Rubel | Student in an Organized Health Care Education/Training Program | 1130 W Michigan St, Indianapolis, IN 46202-5209 | 2017-06-08 |
| 1619402401 | Benjamin Michael Wiese | Internal Medicine | 1130 W Michigan St, Indianapolis, IN 46202-5209 | 2017-04-29 |
| 1164956512 | Maham Mahmood | Student in an Organized Health Care Education/Training Program | 1130 W Michigan St, Indianapolis, IN 46202 | 2017-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386886 | Sara Brooke Horn | Registered Nurse | 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 | 2020-11-04 |
| 1013521905 | Zachary Camden Grimes | Registered Nurse | 720 Eskenazi Avenute, Indianapolis, IN 46202 | 2020-09-08 |
| 1790314045 | Scott C Mitchell II | Student in an Organized Health Care Education/Training Program | Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 | 2020-04-07 |
| 1053940676 | James Patrick Kelly Iv | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1124657697 | Betsy Wilson Stevens | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1093340580 | Brian T Edmonds | Social Worker | Sandra Eskenazi Mental Health Center, 1700 N Illinois St, Indianapolis, IN 46202 | 2020-03-05 |
| 1326683210 | Lindsay Nicole Rich | Nurse Practitioner | 1800 N Senate Ave, Indianapolis, IN 46202 | 2019-11-14 |
| 1427693670 | Ronald Mcdonald House Charities of Central Indiana | Voluntary or Charitable | 435 Limestone Street, Indianaplois, IN 46202 | 2019-11-12 |
| 1790344760 | Kirsten Denise Leaberry | Student in an Organized Health Care Education/Training Program | Iu Health Neuroscience Center, Goodman Hall, 355 West 16th Street, Indianapolis, IN 46202 | 2019-06-12 |
| 1679138093 | Chris Olson Jr. | Student in an Organized Health Care Education/Training Program | 1701 N. Senate Blvd, Ag012, Indianapolis, IN 46202 | 2019-05-02 |
| Find all providers in zip 46202 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255938197 | Christopher Rodney West | Student in an Organized Health Care Education/Training Program | 8616 Burrell Ln, Indianapolis, IN 46256-6306 | 2020-10-05 |
| 1285241828 | Paris Janee Avant | Student in an Organized Health Care Education/Training Program | 8926 Mario Creek Dr, Indianapolis, IN 46234 | 2020-09-28 |
| 1992318158 | Maria Yvette Borden | Student in an Organized Health Care Education/Training Program | University of Indianapolis, Health Pavilion 253, Indianapolis, IN 46217 | 2020-08-27 |
| 1457963563 | Janelle M Bonitati | Student in an Organized Health Care Education/Training Program | 914 E 50th St, Indianapolis, IN 46205-1112 | 2020-08-19 |
| 1629688718 | Krisha Anne Retherford | Student in an Organized Health Care Education/Training Program | 4548 Sundance Trl, Indianapolis, IN 46239-9716 | 2020-08-04 |
| 1740806132 | Vanessa Renee Ianson | Student in an Organized Health Care Education/Training Program | 325 Bangor Dr, Indianapolis, IN 46227-2423 | 2020-06-22 |
| 1881219475 | Stephanie Scalf | Student in an Organized Health Care Education/Training Program | 4912 E 69th St, Indianapolis, IN 46220-3826 | 2020-06-10 |
| 1831719863 | Austin Martin Henderson | Student in an Organized Health Care Education/Training Program | 1520 N Senate Ave Dept Of, Indianapolis, IN 46202-2213 | 2020-04-20 |
| 1194344572 | Kaitlyn Edwards | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr # 5837, Indianapolis, IN 46202-5109 | 2020-04-15 |
| 1700405347 | Russell Reed | Student in an Organized Health Care Education/Training Program | 1120 W Michigan St Ste 630, Indianapolis, IN 46202-5209 | 2020-04-14 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46202 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.