KANG KIEL KIM MD PC (NPI# 1790823466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790823466 |
| Entity Type | Organization |
| Organization Name | KANG KIEL KIM MD PC |
| Practice Address |
1 Webster Ave Suite 307 Poughkeepsie NY 12601-1361 |
| Practice Telephone | 8454711002 |
| Practice Fax Number | 8454711003 |
| Mailing Telephone | 8454711002 |
| Mailing Fax Number | 8454711003 |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. KANG KIEL KIM (PRESIDENT) |
| Authorized Official Telephone | 8454711002 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 111678 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00538156 | 05 |
| Street Address |
1 WEBSTER AVE SUITE 307 |
| City | POUGHKEEPSIE |
| State | NY |
| Zip Code | 12601-1361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972500205 | Andrew Jon Chernack | Family Medicine | 1 Webster Ave, Suite 301, Poughkeepsie, NY 12601-1361 | 2005-07-01 |
| 1255757928 | University Orthopaedics,pc | Orthopaedic Surgery | 1 Webster Ave, Suite 502, Poughkeepsie, NY 12601-1361 | 2014-03-05 |
| 1235552456 | Megan Wright | Nurse Practitioner | 1 Webster Ave, Suite 300, Poughkeepsie, NY 12601-1361 | 2014-01-23 |
| 1255612990 | Carolynn Lavigne | Physical Therapy Assistant | 1 Webster Ave, Suite 401, Poughkeepsie, NY 12601-1361 | 2011-09-08 |
| 1811294465 | William J. Senisi, M.d. P.C. | Ophthalmology | 1 Webster Ave, Suite 306, Poughkeepsie, NY 12601-1361 | 2011-02-17 |
| 1417289307 | Mid Hudson Neurosurgical Specialist, PC | Psychiatry & Neurology | 1 Webster Ave, Suite 307, Poughkeepsie, NY 12601-1361 | 2010-02-03 |
| 1720314347 | Maren Ryan Degroat | Massage Therapist | 1 Webster Ave, Suite 400, Poughkeepsie, NY 12601-1361 | 2009-11-02 |
| 1205007549 | Gingrich Oncology Pllc | Internal Medicine | 1 Webster Ave, Poughkeepsie, NY 12601-1361 | 2008-03-14 |
| 1205011749 | Lorraine Gogreve | Occupational Therapist | 1 Webster Ave, Suite 400, Poughkeepsie, NY 12601-1361 | 2008-01-03 |
| 1578744280 | Arnold Goran, Md Pllc | Specialist | 1 Webster Ave, Suite 300, Poughkeepsie, NY 12601-1361 | 2007-11-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194348425 | Hudson Valley Radiologists, PC | Radiology | 57 Kingwood Park, Poughkeepsie, NY 12601 | 2020-05-21 |
| 1063049088 | Jaquellah Taylor | Student in an Organized Health Care Education/Training Program | Vassar Brother Medical Center 45 Reade Place, Poughkeepsie, NY 12601 | 2020-03-27 |
| 1053957050 | Jasmine Syin-lan Miller | Student in an Organized Health Care Education/Training Program | 3399 North Road, Marist College Msc 12617, Poughkeepsie, NY 12601 | 2019-11-25 |
| 1144864224 | Kim Beverly | Technician | 16 Tamidan Road, Poughkeepsle, NY 12601 | 2019-11-01 |
| 1851852768 | Marwa H Abdalla | Student in an Organized Health Care Education/Training Program | Vassar Brother Medical Center, 45 Reade Place, Poughkeepsie, NY 12601 | 2019-03-26 |
| 1619459047 | Victoria Bozydaj | Occupational Therapy Assistant | 50 Rinaldi Boulevard Apt 7r, Poughkeepsie, NY 12601 | 2018-09-01 |
| 1821589953 | Avo Gregory Serafino | Physician Assistant | 228 Donnelly, Poughkeepsie, NY 12601 | 2018-05-24 |
| 1649771486 | Raewyn Kalisha Clayton | Registered Nurse | 31 Forbus Street Apt C2, Poughkeepsie, NY 12601 | 2018-02-27 |
| 1780108761 | Ronica Dorothy White | Licensed Practical Nurse | 7c Muldowney Circle, Poughkeepsie, NY 12601 | 2017-08-01 |
| 1336662048 | Ashley Elizabeth Travers | Licensed Practical Nurse | 100 Innis Ave, Poughkeepsie, NY 12601 | 2017-07-25 |
| Find all providers in zip 12601 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457720252 | Young Ho Lieu | Surgery | 5 Gold Road, Poughkeepsie, NY 12603 | 2015-09-22 |
| 1396185328 | Erion Qaja | Surgery | 21 Reade Pl Ste 2200, Poughkeepsie, NY 12601-3970 | 2013-07-05 |
| 1285973529 | Health Quest Medical Practice | Surgery | 21 Reade Place, Suite 3100, Poughkeepsie, NY 12601-3944 | 2013-02-06 |
| 1558695874 | John J Choi | Surgery | 30 Reade Place, Poughkeepsie, NY 12601 | 2009-09-21 |
| 1275793549 | Pranat Kumar | Surgery | 243 North Rd Ste 204, Poughkeepsie, NY 12601-1173 | 2008-06-11 |
| 1013182906 | Valley Surgical Specialists, Pllc | Surgery | 1 Field Ct, Poughkeepsie, NY 12601-5208 | 2008-04-23 |
| 1326140062 | Arun K Bhutani | Surgery | 14 Arbor Ct, Poughkeepsie, NY 12603-4269 | 2006-09-02 |
| 1285603597 | Jason S Sperling | Surgery | 1 Columbia St Ste 300, Poughkeepsie, NY 12601 | 2006-03-17 |
| 1023085107 | Mark K Hirko | Surgery | 21 Reade Pl Ste 3100, Poughkeepsie, NY 12601 | 2006-03-07 |
| 1205801636 | Robert Anthony Frisenda | Surgery | 52 Hooker Ave, Poughkeepsie, NY 12601-4612 | 2006-02-20 |
| Find all providers in POUGHKEEPSIE | ||||
| City | POUGHKEEPSIE |
| Zip Code | 12601 |
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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.