YOUN JEA KIM (NPI# 1376908442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376908442 |
| Entity Type | Individual |
| Full Name | YOUN JEA KIM |
| Credential | NP |
| Practice Address |
110 Glendon Pl Unit D Williamsville NY 14221-6087 |
| Mailing Address |
4260 Clardon Dr Williamsville NY 14221-7306 |
| Practice Telephone | 2138802538 |
| Mailing Telephone | 2138802538 |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2017-04-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | 340203 | NY | Allopathic & Osteopathic Physicians |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
340203 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
110 GLENDON PL UNIT D |
| City | WILLIAMSVILLE |
| State | NY |
| Zip Code | 14221-6087 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447552 | Kuldesh Singh Ubhi | Student in an Organized Health Care Education/Training Program | 850 Hoplins Road, Williamsville, NY 14221 | 2020-11-04 |
| 1992304968 | Nicholas Robinson | Nurse Practitioner | 295 Essjay, Williamsville, NY 14221 | 2020-10-21 |
| 1457961104 | Maria Fagant | Licensed Practical Nurse | 2550 Wehrle Drive Suite 1, Williamsville, NY 14221 | 2020-08-07 |
| 1073136362 | Nicole Marie Mauro | Licensed Practical Nurse | 2550 Wehrle Drive, Williamsville, NY 14221 | 2020-05-21 |
| 1982258422 | Schenk Primary Care Medicine, Pllc | Clinic/Center | 2350 Maple Road Suite 100, Amherst, NY 14221 | 2019-08-01 |
| 1669031365 | Anh Thi Nguyet Phan | Student in an Organized Health Care Education/Training Program | 850 Hopkins Rd., Williamsville, NY 14221 | 2019-06-07 |
| 1801453394 | Buffalo Medical Group, PC | Clinic/Center | 325 Essjay, Williamsville, NY 14221 | 2019-05-21 |
| 1265097265 | Christine Marie Wolniewicz | Dietitian, Registered | 507 Maple Rd., Williamsville, NY 14221 | 2019-05-06 |
| 1750844957 | Myles S Faith | Psychologist | 190 Rollingwood Street, Williamsville, NY 14221 | 2019-04-13 |
| 1902376536 | Shane Michael Stadtmueller | Chiropractor | 5820 Main St. Suite 201, Williamsville, NY 14221 | 2018-11-27 |
| Find all providers in zip 14221 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013476068 | Christine Margaret Goedvolk | Nurse Practitioner | 8207 Main St Ste 5, Williamsville, NY 14221-6060 | 2019-03-19 |
| 1801342068 | Lisa J Haase | Nurse Practitioner | 84 Lafayette Blvd, Williamsville, NY 14221-6410 | 2016-08-28 |
| 1770637175 | Ellen Marie Balon | Nurse Practitioner | 5530 Sheridan Drive, Suite 1b, Williamsville, NY 14221 | 2007-01-22 |
| 1447289236 | Kimberly Faith Fedkiw | Nurse Practitioner | 4267 Transit Rd, Williamsville, NY 14221-7205 | 2006-07-02 |
| 1083679443 | Karen O Burch | Nurse Practitioner | 215 Klein Rd, Williamsville, NY 14221-1713 | 2006-04-19 |
| 1609830942 | Amy L Southard | Nurse Practitioner | 60 Maple Road, Williamsville, NY 14221-2917 | 2006-04-13 |
| 1790756880 | Judy E Tomasini | Nurse Practitioner | 1000 Youngs Rd, Suite 104, Williamsville, NY 14221-2644 | 2006-01-28 |
| 1730789462 | Stacey Thompson | Nurse Practitioner | 1540 Maple Rd, Williamsville, NY 14221-3647 | 2020-10-30 |
| 1962015107 | Abigail Marie Foederer | Nurse Practitioner | 1800 Maple Rd, Williamsville, NY 14221-2749 | 2020-08-27 |
| 1487280731 | Kathryn Emily Fritzinger | Nurse Practitioner | 295 Essjay Rd, Williamsville, NY 14221-5795 | 2020-03-19 |
| Find all providers in WILLIAMSVILLE | ||||
| City | WILLIAMSVILLE |
| Zip Code | 14221 |
Please comment or provide details below to improve the information on YOUN JEA 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.