MRS. ELIZABETH A KIM


Address: 12138 Cypress Spring Rd, Clarksburg, MD 20871-4417
Phone: 3015804141

MRS. ELIZABETH A KIM (NPI# 1689738965) 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) 1689738965
Entity Type Individual
Full Name MRS. ELIZABETH A KIM
Credential NP
Practice Address 12138 Cypress Spring Rd
Clarksburg
MD 20871-4417
Practice Telephone 3015804141
Mailing Telephone 3015804141
Enumeration Date 2006-12-20
Last Update Date 2012-06-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
R139631 MD Physician Assistants & Advanced Practice Nursing Providers

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1093184152 Elizabeth J Kim Behavioral Analyst 26565 Agoura Rd # 119, Calabasas, CA 91302-1984 2015-09-18
1932594751 Elizabeth Megas Kim Anesthesiology 729 Rugby Rd, Bryn Mawr, PA 19010-3832 2015-03-30
1689970832 Elizabeth Kim Occupational Therapist 95-321 Laipu Pl, Mililani, HI 96789-5942 2011-02-07
1669480778 Elizabeth J. Kim Psychologist 13030 Euclid St., Ste 118, Gardengrove, CA 92843-1334 2006-08-04
1619599420 Elizabeth Kim Student in an Organized Health Care Education/Training Program 2545 Schoenersville Rd Fl 5, Bethlehem, PA 18017-7300 2020-05-14
1831726744 Elizabeth Yuhjin Kim Student in an Organized Health Care Education/Training Program 1959 Ne Pacific St, Seattle, WA 98195-0001 2020-03-23
1649821752 Elizabeth Kim Counselor 650 I St Ne, Washington, DC 20002-4350 2019-09-20
1730747031 Elizabeth June Kim Occupational Therapist 2121 Pine St, San Francisco, CA 94115-2829 2019-05-31

Office Location

Street Address 12138 CYPRESS SPRING RD
City CLARKSBURG
State MD
Zip Code 20871-4417

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366097578 Shelah Maul Speech-Language Pathologist Clarksburg Elementary School, 13530 Redgrave Place, Clarksburg, MD 20871 2019-08-05
1013401769 Thin Phyu Bur Social Worker 13446 Dutrow Dr, Clarksburg, MD 20871 2018-06-17
1750754925 Milankumar Maheshbhai Patel Physical Therapist 23923 Basil Park Circle, Clarksburg, MD 20871 2015-11-09
1093142796 Harris Teeter, LLC Durable Medical Equipment & Medical Supplies 22700 Sweet Shrub Drive, Clarksburg, MD 20871 2013-09-26
1932493046 Chidinma Ebele Case Management 23447 Tailor Shop Pl, Clarksburg, MD 20871 2011-06-06
1396036455 Reliance Home Care Home Health 12615 Blue Sky Drive, Clarksburg, MD 20871 2011-04-25
1063721629 Clarksburg Medical Center Inc Ophthalmology 22616 Gateway Center Dr Ste 600a, Clarksburg, MD 20871 2010-09-30
1548440787 Patricia J. Tucker Social Worker 21925 Frederick Rd, Clarksburg, MD 20871 2007-11-05
1316439078 Clarksburg Dermatology and Skincare LLC Nurse Practitioner 23202 Brewers Tavern Way, Clarksburg, MD 20871 2018-05-30
1487954509 Sean Park Pharmacist 7025 Brookville Rd, Chevy Chase, MD 20871 2010-10-22
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487288031 Catherine Elizabeth Tricase Nurse Practitioner 256 N Ohio Ave, Clarksburg, WV 26301-2233 2020-02-22
1952931842 Toshua Dainelle Roe Nurse Practitioner 1505 N 20th St, Clarksburg, WV 26301-1569 2020-01-21
1306492483 Megan Ashley Cornman Nurse Practitioner 1279 Clarksburg Rd, Clarksburg, PA 15725-7744 2019-08-14
1447764907 Jonathan Moore Nurse Practitioner 1 Medical Ctr. Drive, Clarksburg, WV 26301 2017-11-20
1487767646 Kathy Leyvonne Ross Nurse Practitioner 1 Medical Drive, Clarksburg, WV 26301 2006-08-15
1871102277 Shannon Miller Ullman Nurse Practitioner 489 Washington Ave, Clarksburg, WV 26301-2825 2020-07-31
1356969927 Diana Lynn Davis Nurse Practitioner 700 Oakmound Rd, Clarksburg, WV 26301-9398 2020-07-10
1710546296 Angela Megan Sessions Nurse Practitioner 700 Oakmound Rd, Clarksburg, WV 26301-9398 2019-06-10
1073009775 Charleen Nicole Dye Nurse Practitioner 469 Emily Dr, Clarksburg, WV 26301-5512 2018-07-05
1740704972 Joanna Carol Ranhart Nurse Practitioner 700 Oakmound Rd, Clarksburg, WV 26301-9398 2017-07-31
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Competitor

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City CLARKSBURG
Zip Code 20871

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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