ERIC TAEJUN KIM (NPI# 1275096489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275096489 |
Entity Type | Individual |
Full Name | ERIC TAEJUN KIM |
Practice Address |
184 South Mayo Trail Pikeville KY 41501 |
Mailing Address |
Po Box 432 Pikeville KY 41502 |
Practice Telephone | 6062182213 |
Enumeration Date | 2019-04-13 |
Last Update Date | 2019-04-13 |
Gender Code | M |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124627757 | Eric Kun Kim | Dentist | 7160 Burden Blvd Ste 102, Pasco, WA 99301-4469 | 2020-10-24 |
1538535943 | Eric Moon Kim | Physical Therapist | 203 S Hampton St, Anaheim, CA 92804-2257 | 2015-08-19 |
1194161091 | Eric Sun Kim | Psychiatry & Neurology | 2965 Waverly Dr Apt 20, Los Angeles, CA 90039-2076 | 2013-05-17 |
1124463088 | Eric G Kim | Orthopaedic Surgery | 2 Shircliff Way Ste 605, Jacksonville, FL 32204-4762 | 2013-05-06 |
1073890323 | Eric E Kim | Pharmacist | 800 W 1st St Apt 2704, Los Angeles, CA 90012-2435 | 2011-11-14 |
1871810150 | Eric Kim | Physical Medicine & Rehabilitation | 3116 Brookstone Dr, Effingham, SC 29541-4618 | 2010-04-27 |
1891828687 | Eric Kim | Dentist | 15785 Laguna Canyon Rd Ste 110, Irvine, CA 92618-3166 | 2007-03-13 |
1992856348 | Eric N Kim | Dentist | 300 Se 120th Ave Ste 600, Vancouver, WA 98683-4020 | 2007-01-14 |
1578660916 | Eric E. Kim | Internal Medicine | 4456 Manzanita Ave, Suite# C, Clearlake, CA 95422-7937 | 2006-09-20 |
1184121139 | Eric Guo Rui Kim | Student in an Organized Health Care Education/Training Program | 3055 Roslyn St Unit 100, Denver, CO 80238-3324 | 2018-04-06 |
Street Address |
184 SOUTH MAYO TRAIL |
City | PIKEVILLE |
State | KY |
Zip Code | 41501 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134720634 | Lauren Ann Thacker | Nurse Practitioner | 648 Stonehenge Drive, Pikeville, KY 41501 | 2020-11-03 |
1659933406 | Wesley Tyler Rowe | Pharmacist | 553 Hambley Boulevard, Suite 6, Pikeville, KY 41501 | 2019-07-02 |
1245755206 | Paula Renee Belcher | Nurse Practitioner | 5724 E Shelbiana Road, Pikeville, KY 41501 | 2017-08-10 |
1174044390 | Jessie C Deffendall | Dentist | 220 Cassidy Blvd, Pikeville, KY 41501 | 2017-06-28 |
1942667456 | Crossroads Addiction Recovery Effort, LLC | Family Medicine | 484 Tollage Crk, Pikeville, KY 41501 | 2016-01-28 |
1265836183 | Rebecca Leann Roberts | Pharmacist | 259 Bear Rd, Pikeville, KY 41501 | 2014-10-21 |
1306253190 | Ginger Webb Aprn | Clinic/Center | 153 Weddington Branch Rd., Pikeville, KY 41501 | 2014-07-14 |
1710323894 | Bhg Xxv, LLC | Case Management | 368 South Mayo Trail, Pikeville, KY 41501 | 2013-05-16 |
1740624220 | Sunrise Children's Services, Inc. | Foster Care Agency | 123 Weddington Branch Road, Pikeville, KY 41501 | 2013-04-26 |
1427330760 | Central Prosthetics & Orthotics, Inc. | Prosthetic/Orthotic Supplier | 171 Hibbard Street, Suite 3, Pikeville, KY 41501 | 2011-09-13 |
Find all providers in zip 41501 |
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 |
---|---|---|---|---|
1336763275 | Elexus Carroll | Student in an Organized Health Care Education/Training Program | 147 Sycamore St, Pikeville, KY 41501-9118 | 2020-06-06 |
1679195408 | Pavitri Dwivedi | Student in an Organized Health Care Education/Training Program | 184 S Mayo Trl, Pikeville, KY 41501-1518 | 2020-05-14 |
1366064677 | M'kayla Nicole Francis | Student in an Organized Health Care Education/Training Program | 184 S Mayo Trl, Pikeville, KY 41501-1518 | 2020-05-08 |
1972125375 | Garett Charles Francis | Student in an Organized Health Care Education/Training Program | 184 S Mayo Trl, Pikeville, KY 41501-1518 | 2020-05-08 |
1619598182 | Kimberly Nicole Mosley | Student in an Organized Health Care Education/Training Program | 184 S Mayo Trl, Pikeville, KY 41501-1518 | 2020-05-06 |
1124657473 | Andrew Abadier | Student in an Organized Health Care Education/Training Program | 147 Sycamore St, Pikeville, KY 41501-9118 | 2020-04-07 |
1497319495 | Qurrat Ul Ain Elahi | Student in an Organized Health Care Education/Training Program | 184 S Mayo Trl, Pikeville, KY 41501-1518 | 2019-04-24 |
1326601873 | Scott Rice | Student in an Organized Health Care Education/Training Program | 184 S Mayo Trl, Pikeville, KY 41501-1518 | 2019-04-19 |
1538722525 | William Maass | Student in an Organized Health Care Education/Training Program | 184 S Mayo Trl, Pikeville, KY 41501-1518 | 2019-04-16 |
1275196362 | Christian Tyler Marcum | Student in an Organized Health Care Education/Training Program | 184 S Mayo Trl, Pikeville, KY 41501-1518 | 2019-04-15 |
Find all providers in PIKEVILLE |
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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.