CHAN HEE KIM (NPI# 1154953552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154953552 |
| Entity Type | Individual |
| Full Name | CHAN HEE KIM |
| Practice Address |
5401 Cheyenne Knoll Pl Alexandria VA 22312-2398 |
| Practice Telephone | 7033627623 |
| Mailing Telephone | 7033627623 |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2020-02-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
5401 CHEYENNE KNOLL PL |
| City | ALEXANDRIA |
| State | VA |
| Zip Code | 22312-2398 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639710429 | Lake Barcroft Dental Group, PC | Dentist | 6464 A1 Lincolnia Rd, Alexandria, VA 22312 | 2019-10-02 |
| 1538684790 | Feras Ibrahim Hawari | Internal Medicine | 4714 Minor Cir, Alexandria, VA 22312 | 2017-08-09 |
| 1285081984 | Nicole Heidbreder Lehr | Behavioral Analyst | 5400 Shawnee Rd Ste 208, Alexandria, VA 22312 | 2016-05-23 |
| 1922486372 | Fassity Home Care LLC | Home Health | 6601 Little River Turn Pike, Suit 210, Alexandria, VA 22312 | 2015-05-18 |
| 1730582107 | Prospect Homecare Agency | Home Health | 5568 General Washington Drive, Suite A 203, Alexandria, VA 22312 | 2014-09-30 |
| 1396926952 | Fairfax Home Health Care, Inc. | Home Health | 4810 Beauregard Street, Suite G4, Alexandria, VA 22312 | 2007-11-23 |
| 1114047768 | Occupational Health Centers of The Southwest, P.a., P.C. | Clinic/Center | 5590 General Washington Drive, Alexandria, VA 22312 | 2007-03-29 |
| 1548339682 | Virginia Pathology Svcs PC | Pathology | 6121 Lincolnia Rd, Suite 108, Alexandria, VA 22312 | 2006-11-06 |
| 1336150531 | Joel Carlton Goldstein | Dentist | 4605 B Pinecrest Office Park Dr, Alexandria, VA 22312 | 2006-08-11 |
| 1619915923 | Jong K Lee | Family Medicine | 4605 A Pinecrest Office, Alexandria, VA 22312 | 2006-06-02 |
| Find all providers in zip 22312 | ||||
| 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 |
|---|---|---|---|---|
| 1467059048 | Ashli Willow Boehm | Student in an Organized Health Care Education/Training Program | 1920 Turning Leaf Ln Sw, Alexandria, MN 56308-4662 | 2020-10-06 |
| 1851998041 | Leslie-anne Flego | Student in an Organized Health Care Education/Training Program | 4523 Arendale Sq, Alexandria, VA 22309-1217 | 2020-10-01 |
| 1285246058 | Corey Scott | Student in an Organized Health Care Education/Training Program | 101 S Reynolds St Apt 416h, Alexandria, VA 22304-3122 | 2020-08-21 |
| 1497364491 | Adriana Pacheco-figueroa | Student in an Organized Health Care Education/Training Program | 2815 Mosby St, Alexandria, VA 22305-1828 | 2020-07-26 |
| 1104440197 | Joseph Herman Fernandes | Student in an Organized Health Care Education/Training Program | 1124 Allison St, Alexandria, VA 22302-2418 | 2020-06-04 |
| 1174143101 | Ashley Neils | Student in an Organized Health Care Education/Training Program | 10 E Walnut St Apt 2, Alexandria, VA 22301-2251 | 2020-04-20 |
| 1386273910 | Mirahertz Enow Atem | Student in an Organized Health Care Education/Training Program | 5420 N Morgan St Apt 103, Alexandria, VA 22312-3306 | 2020-04-06 |
| 1548897002 | Pavana Lalithya Sakhamuri | Student in an Organized Health Care Education/Training Program | 5248 Fieldcrest Ave, Alexandria, LA 71303-2400 | 2020-03-25 |
| 1821625781 | Lindsey Ann France | Student in an Organized Health Care Education/Training Program | 2142 Marye St, Alexandria, LA 71301-6455 | 2020-03-23 |
| 1841843570 | Lauren Moore | Student in an Organized Health Care Education/Training Program | 2312 Mount Vernon Ave Ste 201, Alexandria, VA 22301-1375 | 2019-07-22 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 22312 |
Please comment or provide details below to improve the information on CHAN HEE KIM.
| 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.