KELLY KIM (NPI# 1285031427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285031427 |
| Entity Type | Individual |
| Full Name | KELLY KIM |
| Practice Address |
6301 York Rd Baltimore MD 21212-2636 |
| Mailing Address |
207 Westport Bay Dr Apt 304 Glen Burnie MD 21061-6380 |
| Practice Telephone | 4435244535 |
| Mailing Telephone | 4435700960 |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2014-12-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 0202212706 | VA | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 21005 | MD | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154987790 | Kelly Kim | Counselor | 329 Eucalyptus Dr Apt C, El Segundo, CA 90245-4252 | 2019-05-18 |
| 1760816607 | Kelly Heejung Kim | Dentist | 26742 E. University Dr., Building 200, Suite 220, Aubrey, TX 76227 | 2013-08-28 |
| 1750692505 | Kelly Kyunghee Kim | Occupational Therapist | 3237 34th St, Astoria, NY 11106-1801 | 2010-06-27 |
| 1861724403 | Kelly Kim | Pharmacist | 272 Shadow Mountain Dr, Apt 41, El Paso, TX 79912-4756 | 2010-02-08 |
| 1255959904 | Kelly Marie Kim | Pharmacist | 5125 Jonestown Rd, Harrisburg, PA 17112-2990 | 2020-07-09 |
| 1447882592 | Kelly Baek Kim | Occupational Therapy Assistant | 7320 Firestone Blvd Ste 105, Downey, CA 90241-4159 | 2020-02-06 |
| 1558845487 | Kelly Anne Kim | Nurse Practitioner | 1975 4th St, San Francisco, CA 94143-2351 | 2018-09-17 |
| 1053625715 | Kelly Yeon Su Kim | Dentist | 30001 Crown Valley Pkwy, Suite G, Laguna Niguel, CA 92677-1723 | 2010-08-04 |
| 1104065523 | Kelly Eunjoo Kim | Acupuncturist | 280 Newport Center Dr, Suite 200, Newport Beach, CA 92660-7526 | 2009-02-09 |
| 1912089244 | Kelly H. C. Kim | Nurse Practitioner | 1708 Old Donation Pkwy, Virginia Beach, VA 23454-3064 | 2006-10-19 |
| Street Address |
6301 YORK RD |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21212-2636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073528261 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 6301 York Rd, Baltimore, MD 21212-2636 | 2006-07-29 |
| 1932668449 | Mark Iskhakov | Pharmacist | 6301 York Rd, Baltimore, MD 21212-2636 | 2019-03-14 |
| 1154762540 | Joshua Dennis | Pharmacist | 6301 York Rd, Baltimore, MD 21212-2636 | 2013-07-13 |
| 1467733105 | Valerie Duffy | Pharmacist | 6301 York Rd, Baltimore, MD 21212-2636 | 2011-09-08 |
| 1306126040 | James Pollack Blondheim | Pharmacist | 6301 York Rd, Baltimore, MD 21212-2636 | 2011-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750935227 | Leigh Anne Tabernero | Counselor | 6600 York Rd Suite 110, Towson, MD 21212 | 2019-08-01 |
| 1245734250 | Jeri Michele Mankye | Counselor | 814 Radnor Ave, Baltimore, MD 21212 | 2018-03-23 |
| 1063910859 | Victory Health Care Services LLC | Clinic/Center | 499c Beaumont Avenue, Suite 18, Baltimore, MD 21212 | 2018-01-26 |
| 1063927622 | Janice Furst | Psychologist | 421 Old Trail, Baltimore, MD 21212 | 2017-12-05 |
| 1689196537 | Huber Rehabilitation Services | Counselor | 500 Woodbourne, Baltimore, MD 21212 | 2017-07-12 |
| 1639608037 | Christina Joy Antolick | Behavior Technician | 1007 Lenton Ave, Baltimore, MD 21212 | 2017-06-08 |
| 1902359979 | Miriam Trader | Speech-Language Pathologist | 500 Overbrook Road, Baltimore, MD 21212 | 2016-07-26 |
| 1497137269 | Candy Carter | Social Worker | 5900 York Rd Ste 108, Baltimore, MD 21212 | 2015-06-29 |
| 1053703298 | Cathryne L. Maciolek, Psy.d., LLC | Psychologist | 540 E. Belvedere Avenue, Suite 203, Baltimore, MD 21212 | 2015-02-25 |
| 1891034831 | Ashley Martin | Social Worker | 6401 York Road Third Floor, Towson, MD 21212 | 2013-02-12 |
| Find all providers in zip 21212 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265623 | Michael Tyler Lundy | Pharmacist | 7920 Belair Rd, Baltimore, MD 21236-3706 | 2020-11-05 |
| 1780291112 | Simon K Muraguri | Pharmacist | 1403 E Cold Spring Ln Ste B, Baltimore, MD 21239-3913 | 2020-09-29 |
| 1124633425 | Kalev G Latova | Pharmacist | 6506 Gardenwick Rd, Baltimore, MD 21209-2538 | 2020-09-14 |
| 1083258024 | Alan Shen Lin | Pharmacist | 250 President St Unit 1001, Baltimore, MD 21202-4440 | 2019-11-02 |
| 1427699560 | Chelsea Niemah Ray | Pharmacist | 4140 E Joppa Rd, Baltimore, MD 21236-2223 | 2019-09-30 |
| 1881240802 | Waleed Mazhar Khan | Pharmacist | 29-31 Sipping Pl, Baltimore, MD 21222 | 2019-08-15 |
| 1780240325 | George Desales Garmer | Pharmacist | 2772 Lighthouse Pt E Unit 415, Baltimore, MD 21224-5048 | 2019-05-18 |
| 1679034292 | Uyen Phuong Nguyen | Pharmacist | 1340 Smith Ave Ste A, Baltimore, MD 21209-3736 | 2019-03-27 |
| 1962979500 | Jia K Allen | Pharmacist | 2509-2523 Pennsylvania Ave, Baltimore, MD 21217 | 2018-11-01 |
| 1194291211 | Brittney Brooks-grey | Pharmacist | 3507 Brendan Ave, Baltimore, MD 21213-1905 | 2018-10-16 |
| Find all providers in BALTIMORE | ||||
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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.