KENNETH KIM (NPI# 1164914339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164914339 |
| Entity Type | Individual |
| Full Name | KENNETH KIM |
| Practice Address |
9027 Sutphin Blvd Jamaica NY 11435-3647 |
| Practice Telephone | 7185268400 |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2018-06-04 |
| Gender Code | M |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205210929 | Kenneth Kim | Dentist | 6519 Fm 1488, Westwood Village, #505, Magnolia, TX 77354 | 2015-07-13 |
| 1437547528 | Kenneth Kim | Registered Nurse | 59 Grafe St, Staten Island, NY 10309-1774 | 2014-12-26 |
| 1760741342 | Kenneth Taik Kim | Physical Therapist | 3301 S Hoover St, Los Angeles, CA 90007-3557 | 2012-05-16 |
| 1952473274 | Kenneth Kwanyoung Kim | Surgery | 10830 Garland Dr, Culver City, CA 90232-3755 | 2006-11-14 |
| 1205833563 | Kenneth T Kim | Allergy & Immunology | 2600 Redondo Ave, Ste 400, Long Beach, CA 90806-2330 | 2005-07-01 |
| 1710509054 | Kenneth C Kim | Internal Medicine | 701 N 1st St, Springfield, IL 62702-3757 | 2020-05-09 |
| 1003441262 | Kenneth Taeyoung Kim | Student in an Organized Health Care Education/Training Program | 10833 Le Conte Ave, Los Angeles, CA 90095-3075 | 2020-03-09 |
| 1780942375 | Kenneth Kim | Emergency Medicine | 101 The City Dr S Bldg 200, Orange, CA 92868-3201 | 2012-05-02 |
| 1568690832 | Kenneth Pak Kim | Anesthesiology | 707 Sw Washington St, Ste 700, Portland, OR 97205-3536 | 2009-06-25 |
| 1225295181 | Kenneth Keisung Kim | Psychologist | 411 Oak St, Cincinnati, OH 45219-2504 | 2008-05-19 |
| Street Address |
9027 SUTPHIN BLVD |
| City | JAMAICA |
| State | NY |
| Zip Code | 11435-3647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154489342 | Analinda Lorente IIi | Social Worker | 9027 Sutphin Blvd, Jamaica, NY 11435-3647 | 2006-12-04 |
| 1114581113 | Shakia Freeman | Social Worker | 9027 Sutphin Blvd, Jamaica, NY 11435-3647 | 2019-04-24 |
| 1790212694 | Kerlande Pierre | Registered Nurse | 9027 Sutphin Blvd, Jamaica, NY 11435-3647 | 2017-05-23 |
| 1962937573 | Diane Rapacioli | Social Worker | 9027 Sutphin Blvd, 5th Floor, Jamaica, NY 11435-3647 | 2017-04-21 |
| 1295271328 | Clara Cabrera | Social Worker | 9027 Sutphin Blvd, Jamaica, NY 11435-3647 | 2017-01-12 |
| 1659825263 | Erin Coyle | Social Worker | 9027 Sutphin Blvd, Jamaica, NY 11435-3647 | 2016-08-11 |
| 1326408212 | Vania Oliveira | Registered Nurse | 9027 Sutphin Blvd, Jamaica, NY 11435-3647 | 2016-03-04 |
| 1114396074 | Chandani Persaud | Student in an Organized Health Care Education/Training Program | 9027 Sutphin Blvd, 5th Fl, Jamaica, NY 11435-3647 | 2015-09-22 |
| 1457757759 | Lori Beth Magliaro I | Social Worker | 9027 Sutphin Blvd, Jamaica, NY 11435-3647 | 2014-11-13 |
| 1255735247 | Samuel Ellis Green | Counselor | 9027 Sutphin Blvd, Jamaica, NY 11435-3647 | 2014-10-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780284273 | Angela Abramov | Nurse Practitioner | 141-30 Pershing Creacsent Apt 3c, Jamaica, NY 11435 | 2020-10-26 |
| 1871114892 | Alternative Care Occupational Therapy, PC | Occupational Therapist | 149-16 Jamaica Ave, Jamaica, NY 11435 | 2020-04-30 |
| 1831737311 | Aminat Adams | Registered Nurse | 10753 Remitown Street, Jamaica, NY 11435 | 2019-12-16 |
| 1376180349 | Isabella Herold | Dietitian, Registered | 97-04 Sutphin Boulevard, Jamaica, NY 11435 | 2019-12-09 |
| 1235774654 | Angela Rose Torriero | Occupational Therapist | 90-36 150th Street, Jamaica, Queens, NY 11435 | 2019-11-08 |
| 1396386009 | Alexandra Mikyung Kim | Registered Nurse | 90-27 Sutphin Boulevard, Jamaica, NY 11435 | 2019-10-03 |
| 1043782097 | Louis E Krigger | Counselor | Restfull Nights Corporation, 106-38 150th St, Jamaica, NY 11435 | 2018-12-31 |
| 1407326093 | Syretta Henry | Social Worker | 90-27 Sutphin Blvd 5th Floor, Jamaica, NY 11435 | 2018-11-27 |
| 1972083277 | Debra Witherspoon-benders | Licensed Vocational Nurse | Samaritan Daytop Village 138-02 Queens Boulevard, Briarwood, NY 11435 | 2018-08-16 |
| 1982182895 | Emmanuel Oszwa Odigie | Respite Care | 148-13 Hillside Ave, 2nd Fl Briarwood, Briarwood, NY 11435 | 2018-08-02 |
| Find all providers in zip 11435 | ||||
| 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 |
|---|---|---|---|---|
| 1831797067 | Joseph A Alvarez | Student in an Organized Health Care Education/Training Program | 13425 166th Pl Apt 4b, Jamaica, NY 11434-3818 | 2020-10-09 |
| 1265042451 | Gulshan Begum | Student in an Organized Health Care Education/Training Program | 8900 170th St Apt 11f, Jamaica, NY 11432-5319 | 2020-08-03 |
| 1568080539 | Pamela Chowayou | Student in an Organized Health Care Education/Training Program | 16318 Jamaica Ave Ste 2, Jamaica, NY 11432-4901 | 2020-07-07 |
| 1205459476 | Jasmine Kaur Sandhu | Student in an Organized Health Care Education/Training Program | 87-68 164th St, N Building, 7th Floor, Rm N733, Jamaica, NY 11432 | 2020-05-22 |
| 1225650385 | Alli El-ijla | Student in an Organized Health Care Education/Training Program | Queens Hospital Center 82-68 164th Street, Jamaica, NY 11432 | 2020-05-12 |
| 1548880198 | Yombenkis Bigay | Student in an Organized Health Care Education/Training Program | 13804 Linden Blvd # 2, Jamaica, NY 11436-1029 | 2020-04-23 |
| 1841810637 | Lochana Kc | Student in an Organized Health Care Education/Training Program | 8900 Van Wyck Expy # 3, Jamaica, NY 11418-2832 | 2020-04-21 |
| 1669092946 | Jamil Ashrafuzzaman | Student in an Organized Health Care Education/Training Program | 8620 162nd St Fl 1, Jamaica, NY 11432-3432 | 2020-04-16 |
| 1730708348 | Solomon Davidovich Borukhov | Student in an Organized Health Care Education/Training Program | 167th Street, 82-60, Jamaica, NY 11432-1823 | 2020-04-14 |
| 1346869955 | Liane Zwetzich | Student in an Organized Health Care Education/Training Program | Queens Hospital Center, 82-68 164th Street, Jamaica, NY 11432 | 2020-04-14 |
| Find all providers in JAMAICA | ||||
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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.