KYONG HO KIM (NPI# 1124009303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124009303 |
| Entity Type | Individual |
| Full Name | KYONG HO KIM |
| Credential | DO |
| Practice Address |
11306 Bridgeport Way Sw Suite D Lakewood WA 98499-3037 |
| Mailing Address |
Po Box 39324 Lakewood WA 98496-3324 |
| Practice Telephone | 2539839390 |
| Practice Fax Number | 2539830066 |
| Mailing Telephone | 2539839390 |
| Mailing Fax Number | 2539830066 |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2015-01-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
OP00001595 | WA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265888473 | Kyong Kim | Podiatrist | 18151 Ne 31st Ct, Apt 911, Aventura, FL 33160-2660 | 2016-05-05 |
| 1326658493 | Kyong Soon Kim | Technician | 1928 E Charleston Blvd Ste A, Las Vegas, NV 89104-1993 | 2020-08-04 |
| 1336583590 | Kyong Kim | Pharmacist | 6412 S Parker Rd, Aurora, CO 80016-3011 | 2013-04-18 |
| 1770824021 | Kyong Tai Kim | Community Health Worker | 1310 Wilshire Blvd, Los Angeles, CA 90017-1705 | 2013-03-12 |
| 1811218944 | Kyong Kim | Pharmacist | 4410 Slauson Ave, Maywood, CA 90270-2932 | 2010-06-11 |
| 1184608226 | Kyong Hi Kim | Dentist | 3295 Forney St, Fort Jackson, SC 29207-5604 | 2005-12-02 |
| Street Address |
11306 BRIDGEPORT WAY SW SUITE D |
| City | LAKEWOOD |
| State | WA |
| Zip Code | 98499-3037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013311679 | Paul Bradley | Physician Assistant | 11306 Bridgeport Way Sw, Ste D, Lakewood, WA 98499-3037 | 2014-10-10 |
| 1982855995 | Bridgeport Medical Clinic Pllc | Clinic/Center | 11306 Bridgeport Way Sw, Suite B, Lakewood, WA 98499-3037 | 2008-10-08 |
| 1053431684 | Sound Pain Alliance | Pain Medicine | 11306 Bridgeport Way Sw, #d, Lakewood, WA 98499-3037 | 2007-03-29 |
| 1215023940 | Lakewood Surgical Urology Ps | Urology | 11306 Bridgeport Way Sw, Suite D, Lakewood, WA 98499-3005 | 2006-10-04 |
| 1669586087 | Dennis Jooyoung Kim | Internal Medicine | 11306 Bridgeport Way Sw, Suite B, Lakewood, WA 98499-3037 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275159592 | Sea Mar Community Health Centers | Clinic/Center | 5700 100th Street Se, Suite 510, Lakewood, WA 98499 | 2020-06-23 |
| 1568018828 | Heather Leigh Andrade | Behavioral Analyst | 6210 75th St W Ste 100, Lakewood, WA 98499 | 2019-08-13 |
| 1043870876 | Seoul Chinese Herbs Inc | Acupuncturist | 8705 S. Tacoma Way, Lakewood, WA 98499 | 2019-06-14 |
| 1013572064 | Puget Sound Kidney Centers | Clinic/Center | 11950 47th Ave Sw, Lakewood, WA 98499 | 2019-05-06 |
| 1447736657 | Marcela Cunan | Counselor | 9330 59th Avenue Southest, Lakewood, WA 98499 | 2018-07-11 |
| 1609382381 | Leroy Moore IIi | Counselor | 8811 S. Tacoma Way, 106, Lakewood, WA 98499 | 2017-12-18 |
| 1578077657 | Andrea Gaston | Behavior Technician | 8815 S. Tacoma Way, Suite 122, Lakewood, WA 98499 | 2017-11-27 |
| 1609389931 | Jennifer King | Social Worker | 5900 100th St Sw Ste 17b, Lakewood, WA 98499 | 2017-11-08 |
| 1750806337 | Wonyoung Lee | Counselor | 8811 South Tacoma Way, Suite 106, Lakewood, WA 98499 | 2017-08-04 |
| 1043749443 | Frederick Paltron Edwards | Counselor | 9500 Front Street, Suite 100, Lakewood, WA 98499 | 2017-06-08 |
| Find all providers in zip 98499 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710956735 | Colorado Pain Specialists PC | Pain Medicine | 325 S Teller St, Suite 240, Lakewood, CO 80226-7388 | 2006-03-14 |
| 1871032193 | Cascade Pain Pllc | Pain Medicine | 6323 111th St Sw, Lakewood, WA 98499-1303 | 2017-02-20 |
| 1124463864 | Washington Center for Pain Management LLC | Pain Medicine | 6323 111th St Sw, Lakewood, WA 98499-1303 | 2013-05-08 |
| 1053431684 | Sound Pain Alliance | Pain Medicine | 11306 Bridgeport Way Sw, #d, Lakewood, WA 98499-3037 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528056 | Washington Center for Pain Management | Pain Medicine | 607 Se Everett Mall Way Ste 2, Everett, WA 98208-3210 | 2020-11-06 |
| 1972080703 | Pain Management Partner LLC | Pain Medicine | 421 W Riverside Ave Ste 900, Spokane, WA 99201-0418 | 2018-07-24 |
| 1134638281 | Vtc Vitality Healthcare | Pain Medicine | 12409 E Mission Ave Ste 102, Spokane Valley, WA 99216 | 2017-09-20 |
| 1306218284 | Sound Pain Alliance | Pain Medicine | 17615 Se 272nd St Ste 109, Covington, WA 98042-4957 | 2015-10-30 |
| 1740666411 | Sound Pain Alliance | Pain Medicine | 9927 Mickelberry Rd Nw Ste 101, Silverdale, WA 98383-7861 | 2015-08-05 |
| 1457732315 | Summit Healthcare Alliance Pllc | Pain Medicine | 12100 Northup Way, Bellevue, WA 98005-1920 | 2015-06-16 |
| 1518354752 | Sound Pain Alliance | Pain Medicine | 7200 S 180th St Ste 102, Tukwila, WA 98188-5548 | 2015-04-24 |
| 1861739294 | Puget Sound Pain Clinic Ps | Pain Medicine | 7200 S 180th St, Suite 102, Tukwila, WA 98188-5548 | 2013-01-04 |
| 1740434356 | Pinnacle Pain Center, Ps | Pain Medicine | 7401 W Hood Place, Suite 200, Kennewick, WA 99336-3400 | 2008-11-10 |
| 1467545210 | David A Velling | Pain Medicine | 350 S 333rd St, Federal Way, WA 98003-6321 | 2006-10-02 |
| Find all providers with the same taxonomy | ||||
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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.