DR. DAVID DAESOO KIM (NPI# 1588067771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588067771 |
| Entity Type | Individual |
| Full Name | DR. DAVID DAESOO KIM |
| Credential | PHD |
| Practice Address |
3000 Langford Rd Building 300 Peachtree Corners GA 30071-1521 |
| Mailing Address |
3000 Langford Rd Building 300 Norcross GA 30071-6675 |
| Practice Telephone | 4045120886 |
| Mailing Telephone | 4045120886 |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2017-03-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC007964 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225661036 | David Dongkyung Kim | Student in an Organized Health Care Education/Training Program | 6 Whittier Place, Apartment 15b, Boston, MA 02114 | 2020-02-20 |
| 1578106852 | David H Kim | Dentist | 2058 Kings Cross Ln, Cordova, TN 38016-5176 | 2019-10-19 |
| 1194378877 | David S Kim | Dentist | 121 Tatham Rd, Bensalem, PA 19020-1641 | 2019-07-22 |
| 1790341691 | David Kim | Physician Assistant | 993f Johnson Ferry Rd Ste 210, Atlanta, GA 30342-1602 | 2019-05-15 |
| 1316407539 | David Kim | Behavior Technician | 6056 Delaware Park Ct, Eastvale, CA 92880-0984 | 2019-03-22 |
| 1104398593 | David Solomon Kim | Acupuncturist | 3520 147th St Ph 1f, Flushing, NY 11354-3773 | 2018-12-22 |
| 1942738935 | David Kim | Social Worker | 45 Douglass St # 3, Brooklyn, NY 11231-4716 | 2017-06-02 |
| 1841673936 | David Hoyeon Kim | Dentist | 1234 Devonshire Ln, La Habra, CA 90631-7421 | 2015-07-07 |
| 1235517996 | David Kim | Surgery | 3401 N Broad St # 3ppc388, Philadelphia, PA 19140 | 2015-05-14 |
| 1114318383 | David Tae Hun Kim | Dentist | 736 Tangelo Way, Fullerton, CA 92832-2630 | 2015-02-10 |
| Street Address |
3000 LANGFORD RD BUILDING 300 |
| City | PEACHTREE CORNERS |
| State | GA |
| Zip Code | 30071-1521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710430046 | Mijin Chung | Counselor | 3000 Langford Rd, Building 300, Peachtree Corners, GA 30071-1521 | 2016-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477199867 | 1st Senior Cares, LLC | Home Health | 7116 Peachtree Industrial Blvd. Bldg. 4, Ste. B, Peachtree Corners, GA 30071 | 2019-11-21 |
| 1124660048 | Phil Scafidi | Massage Therapist | 50 Skin Alley, Norcross, GA 30071 | 2019-10-11 |
| 1063071454 | Kenanesha Owens | Counselor | 3040 Holcolmb Bridge Rd Suite J2, Norcross, GA 30071 | 2019-06-10 |
| 1407318389 | 1st Senior Homecare, LLC | Home Health | 7116 Peachtree Industrial Blvd., Bldg 4 Suite A, Peachtree Corners, GA 30071 | 2019-04-01 |
| 1982163689 | Jk Acupuncture LLC | Acupuncturist | 5390 Peachtree Industrial Bl #101, Norcross, GA 30071 | 2019-03-13 |
| 1063990778 | First Senior Center | Clinic/Center | 7116 Peachtree Industrial Blvd, Bldg 4, Peachtree Corners, GA 30071 | 2018-08-03 |
| 1952896904 | Sonal P Patel | Physical Therapy Assistant | 4709 Peachtree Ind Blvd, Suite 106, Norcross, GA 30071 | 2018-06-22 |
| 1700392354 | Medlink Ems Inc | Ambulance | 6825 Jimmy Carter Blvd Ste 1303, Norcross, GA 30071 | 2017-12-19 |
| 1205377975 | David Kalisz II | Specialist/Technologist, Other | 1880 Beaver Ridge Circle Suite D, Norcross, GA 30071 | 2017-03-15 |
| 1356792519 | Tiffany Pope | Counselor | 6045 Atlantic Blvd Ste 108, Norcross, GA 30071 | 2016-06-28 |
| Find all providers in zip 30071 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598365033 | Tiffany Johnson | Counselor | 309 Ivy Chase Ln, Peachtree Corners, GA 30092-4641 | 2020-10-26 |
| 1518528629 | Amy Barrett | Counselor | 4725 Peachtree Corners Cir Ste 185, Peachtree Corners, GA 30092-2553 | 2019-06-28 |
| 1447730502 | Heidy Guzman | Counselor | 3295 River Exchange Dr Ste 310, Peachtree Corners, GA 30092-4216 | 2018-08-17 |
| 1730540899 | Andrea Ferrara | Counselor | 4743 Ridgegate Cir, Peachtree Corners, GA 30097-2311 | 2016-03-16 |
| 1063800795 | Rekindle Hope Counseling, LLC. | Counselor | 5680 Peachtree Pkwy, Suite B, Peachtree Corners, GA 30092-2860 | 2015-01-05 |
| 1497392674 | Jennifer Cohrs | Counselor | 4046 Wetherburn Way Ste 1, Peachtree Corners, GA 30092-4614 | 2019-12-05 |
| 1982191201 | Soo Hyun Kim | Counselor | 6185 Buford Hwy Bldg G, Peachtree Corners, GA 30071-2350 | 2018-04-23 |
| 1720525181 | Magaen Harris | Counselor | 5960 Crooked Creek Rd, Peachtree Corners, GA 30092-6219 | 2017-01-24 |
| 1710430046 | Mijin Chung | Counselor | 3000 Langford Rd, Building 300, Peachtree Corners, GA 30071-1521 | 2016-08-03 |
| 1093180598 | Chrystol Wilson-payne | Counselor | 3937 Holcomb Bridge Rd, Suites 200 and 201, Peachtree Corners, GA 30092-2290 | 2015-12-09 |
| Find all providers in PEACHTREE CORNERS | ||||
| City | PEACHTREE CORNERS |
| Zip Code | 30071 |
Please comment or provide details below to improve the information on DR. DAVID DAESOO 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.