KYUNG KIM (NPI# 1750761995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750761995 |
| Entity Type | Individual |
| Full Name | KYUNG KIM |
| Credential | MD |
| Practice Address |
251 Columbia Club Dr E Blythewood SC 29016-9479 |
| Practice Telephone | 8037547711 |
| Mailing Telephone | 8037652500 |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2015-06-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0214X |
Pediatrics Specialization: Pediatric Pulmonology |
8712 | SC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922590058 | Kyung Soo Kim | Acupuncturist | 170 Evergreen Rd Apt 5a, Edison, NJ 08837-2444 | 2018-06-04 |
| 1265976898 | Kyung M Kim | Occupational Therapist | 14390 Uniform Dr, Centreville, VA 20121-2321 | 2016-12-16 |
| 1013364421 | Kyung Sook Kim | Anesthesiology | 5 Floral Park Ct, Savoy, IL 61874-9761 | 2016-05-16 |
| 1902139934 | Kyung Sik Kim | Acupuncturist | 3150 Southwycke Ter, Fremont, CA 94536-1960 | 2009-09-09 |
| 1497980437 | Kyung Taek Kim | Acupuncturist | 1481 S King Street, #106, Honolulu, HI 96814 | 2009-05-20 |
| 1134344419 | Kyung Hee Kim | Social Worker | 12356 Donovan Cir, Austin, TX 78753-7220 | 2007-04-13 |
| 1831210335 | Kyung Han Kim | Physical Therapist | 4304 Evergreen Ln Ste 102, Annandale, VA 22003-3216 | 2007-04-02 |
| 1790816627 | Kyung Ja Kim | Acupuncturist | 4482 Barranca Pkwy Ste 248, Irvine, CA 92604-4770 | 2007-03-09 |
| 1922140425 | Kyung Il Kim | Dentist | 214 20 45 Road, Bayside, NY 11361-3338 | 2007-02-12 |
| 1275693467 | Kyung Ok Kim | Internal Medicine | 2 Woodbury Court, Hicksville, NY 11801-3159 | 2006-12-11 |
| Street Address |
251 COLUMBIA CLUB DR E |
| City | BLYTHEWOOD |
| State | SC |
| Zip Code | 29016-9479 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275151870 | Soo Ji Mun | Student in an Organized Health Care Education/Training Program | 3049 Gedney Circle, Blythewood, SC 29016 | 2020-07-09 |
| 1427600196 | Josie Gandy Drew Britt | Speech-Language Pathologist | Langford Elementary, 480 Langford Road, Blythewood, SC 29016 | 2019-07-12 |
| 1740843093 | Helping Hearts Development Corporation | In Home Supportive Care | 311 Blythewood Road, Blythewood, SC 29016 | 2019-04-22 |
| 1063933125 | Shawn Tyler | Registered Nurse | 1017 Fulmer Road, Blythewood, SC 29016 | 2017-06-29 |
| 1497290852 | Carolina Roses of Blythewood LLC | Community Based Residential Treatment Facility, Mental Illness | 5338 Hardscrabble Rd, Blythewood, SC 29016 | 2016-12-21 |
| 1598129512 | Brooke L. Green | Physical Therapy Assistant | 428-3 Mcnulty Road, Blythewood, SC 29016 | 2016-04-06 |
| 1922468909 | Prince George Transport | Ambulance | 200 Louthian Way, Blythewood, SC 29016 | 2016-03-03 |
| 1760849459 | Sherry Macaluso | Counselor | 2008 Old Birch Drive, Blythewood, SC 29016 | 2016-01-26 |
| 1851559629 | John C Cosby Jr Dmd Pa | Dentist | 745 University Village Drive, Blythewood, SC 29016 | 2008-05-29 |
| 1427242031 | Fairfield Medical Associates,pa | Specialist | 428 2 Mcnulty Road, Blythewood, SC 29016 | 2007-08-28 |
| Find all providers in zip 29016 | ||||
| Taxonomy Code | 2080P0214X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Pulmonology |
| A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154433688 | Michael Jay Fields | Pediatrics | 200 Patewood Dr Ste A300, Greenville, SC 29615-6303 | 2006-08-31 |
| 1720035603 | Upstate Pediatric Pulmonary Specialists, PC | Pediatrics | 1089 Boiling Springs Rd, Spartanburg, SC 29303-2248 | 2006-05-27 |
| 1407802267 | Daniel Craig Brown | Pediatrics | 9 Richland Medical Park Dr Ste 505, Columbia, SC 29203-6844 | 2006-05-25 |
| 1790922961 | Roni Socher | Pediatrics | 200 Patewood Dr, Suite A330, Greenville, SC 29615-3593 | 2009-01-09 |
| 1356594261 | University Medical Associates | Pediatrics | 171 Ashley Ave, Charleston, SC 29425-8908 | 2008-10-23 |
| 1699964569 | Children's Respiratory Center, Pa | Pediatrics | 58 Bear Dr, Greenville, SC 29605-4458 | 2007-10-17 |
| 1205032638 | Sterling Wagner Simpson | Pediatrics | 200 Patewood Dr, Ste. A300, Greenville, SC 29615-3593 | 2007-06-22 |
| 1982805487 | Steven Michael Snodgrass | Pediatrics | 200 Patewood Dr, Suite A300, Greenville, SC 29615-3593 | 2007-05-30 |
| 1306954250 | Charles M Bowman | Pediatrics | 171 Ashley Ave, Charleston, SC 29425-0001 | 2006-08-29 |
| 1679507065 | David Eugene Brown IIi | Pediatrics | 9 Richland Medical Park Dr Ste 500, Columbia, SC 29203-6870 | 2006-07-10 |
| Find all providers with the same taxonomy | ||||
| City | BLYTHEWOOD |
| Zip Code | 29016 |
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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.