HYE-KYONG KIM THERAPY LLC


Address: 1145 Grand Ave # 101, Saint Paul, MN 55105-2629
Phone: 6125946910

HYE-KYONG KIM THERAPY LLC (NPI# 1275175242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275175242
Entity Type Organization
Organization Name HYE-KYONG KIM THERAPY LLC
Practice Address 1145 Grand Ave # 101
Saint Paul
MN 55105-2629
Practice Telephone 6125946910
Mailing Telephone 6125946910
Enumeration Date 2019-10-11
Last Update Date 2019-10-11
Authorized Official Name DR. HYE-KYONG KIM (CLINICAL PSYCHOLOGIST)
Authorized Official Telephone 6125946910
Authorized Official Credential PSYD, LP, SEP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MN 1962759217 05

Office Location

Street Address 1145 GRAND AVE # 101
City SAINT PAUL
State MN
Zip Code 55105-2629

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1679020226 Internal Revolution Counseling and Consulting, L.L.C. Psychologist 1123 Grand Avenue, Suite 201, Saint Paul, MN 55105 2016-09-01
1487059689 Jennifer Mason Lactation Consultant, Non-RN 1382 Summit Ave, Saint Paul, MN 55105 2014-10-30
1679818850 Marc Lane Wolfson Registered Nurse 1148 Grand Avenue, St. Paul, MN 55105 2012-11-29
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1265718142 Caitlin Marie Young Midwife 968 Grand Ave., St. Paul, MN 55105 2011-10-24
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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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NPI Name Taxonomy Address Enumeration
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1740849454 Bilterms Solutions Inc Clinic/Center 2430 University Ave W, Saint Paul, MN 55114-1706 2019-06-07
1215334578 St Paul Clinic LLC Clinic/Center 301 University Ave W, Saint Paul, MN 55103-2048 2014-12-02
1518192798 Family Eyecare Pa Clinic/Center 2309 Como Ave, Saint Paul, MN 55108-1723 2009-05-18
1871779595 Associated Hearing Instruments of St Paul Inc Clinic/Center 393 Dunlap St N Ste 115, Saint Paul, MN 55104-4203 2008-01-11
1932389897 Dr. Bobby K. Yang M.d. Medical Clinic, LLC Clinic/Center 1047 University Ave W, Suite 101, Saint Paul, MN 55104-4751 2007-11-08
1346302981 St. Paul Family Medical Center Clinic/Center 1239 Payne Ave, Saint Paul, MN 55130 2006-12-13
1942384193 United Family Practice Health Center Clinic/Center 1307 Maynard Dr W, Suite 13, Saint Paul, MN 55116-2930 2006-10-24
1235755349 Abundant Life Health Coaches, LLC Clinic/Center 808 Berry St Apt 237, Saint Paul, MN 55114-1474 2020-06-24
1306470737 Fairview Clinics Clinic/Center 580 Rice St, Saint Paul, MN 55103-2148 2020-02-25
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Competitor

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City SAINT PAUL
Zip Code 55105

Improve Information

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Dataset Information

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.

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