EUNKUK KIM (NPI# 1861641599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861641599 |
Entity Type | Individual |
Full Name | EUNKUK KIM |
Credential | M.D. |
Practice Address |
Beacon Hill Dr Apt A Winston Salem NC 27106 |
Mailing Address |
Medical Center Blvd 3rd Floor, Sticht Center Winston-salem NC 27157 |
Practice Telephone | 3369976842 |
Mailing Telephone | 3369976842 |
Enumeration Date | 2008-09-18 |
Last Update Date | 2008-09-18 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225400000X | Rehabilitation Practitioner | 147419 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | MEDICOST | A0037895000 | 01 |
Street Address |
BEACON HILL DR APT A |
City | WINSTON SALEM |
State | NC |
Zip Code | 27106 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437799103 | Tyler Laura Lawrence | Behavioral Analyst | 1959 N Peace, 104, Winston-salem, NC 27106 | 2020-01-10 |
1316504624 | Amanda Baker | Behavior Technician | 1959 N Peace Haven Rd, Suite 104, Winston Salem, NC 27106 | 2019-05-22 |
1679030316 | Lavonda Williams | Behavior Technician | 1959 N Peace Haven Road, Winston Salem, NC 27106 | 2019-03-01 |
1518436708 | Angela Ruth Brown | Physical Therapy Assistant | 190 Moravian Way Drive, Winston-salem, NC 27106 | 2018-11-16 |
1407378896 | Applied Family Services of Winston-salem | Early Intervention Provider Agency | 4220 Witherow Rd, Winston Salem, NC 27106 | 2017-07-07 |
1750801676 | Julia Ann Horton | Speech-Language Pathologist | 2000 Salemtowne Drive, Winston Salem, NC 27106 | 2017-06-21 |
1124548037 | Tyler John Jones | Community Health Worker | 7014 Brandemere Ln. Apt F, Winston Salem, NC 27106 | 2017-06-21 |
1396274759 | Jennifer Cui | Social Worker | 3216 Cross Tree Rd, Winston-salem, NC 27106 | 2017-06-08 |
1063947802 | Rebecca Jeanette Mclemore | Social Worker | 4401 Providence Ln. #121, Top Priority Care Services, LLC., Winston-salem, NC 27106 | 2017-05-01 |
1720529357 | Rising Hope Clinical Assistance, LLC | Community/Behavioral Health | 510 Northgate Park Dr, Winston Salem, NC 27106 | 2017-03-15 |
Find all providers in zip 27106 |
Taxonomy Code | 225400000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Rehabilitation Practitioner |
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124628292 | Urban Family Solutions Inc. | Rehabilitation Practitioner | 1153 Oak Crest Trl, Belmont, NC 28012-7627 | 2020-10-28 |
1437638749 | Kristin Tabatha Cauldwell | Rehabilitation Practitioner | Compass Point Wellness Center, 2308 E Oakbridge Way Ne, Leland, NC 28451-0230 | 2018-08-08 |
1063877900 | Yolanda Deonne Ector | Rehabilitation Practitioner | 5605 Country Club Rd, Greensboro, NC 27406 | 2015-12-18 |
1730582677 | Eileen Ann Johnson | Rehabilitation Practitioner | 4513 Lawndale Dr, Apt. F, Greensboro, NC 27455-1879 | 2014-10-07 |
1912328220 | Felicia Rene Hall White | Rehabilitation Practitioner | 3006 Sikes Mill Rd, Monroe, NC 28110-9782 | 2014-01-05 |
1396093712 | Sakeenah Lambert | Rehabilitation Practitioner | 630 James St, Burlington, NC 27217-6008 | 2012-08-15 |
1710234984 | Ori-med, PC | Rehabilitation Practitioner | 930 Se Cary Pkwy Ste 100b, Cary, NC 27518-7419 | 2012-08-07 |
1285989871 | Beverly C Thomas | Rehabilitation Practitioner | 3123 Ross Ave, Charlotte, NC 28208-7131 | 2012-07-19 |
1598065674 | Terry Christopher Speaks | Rehabilitation Practitioner | 355 Galloway St, Mount Airy, NC 27030-3711 | 2010-10-23 |
1992965727 | Kasey Michelle Sessoms | Rehabilitation Practitioner | 3511 W Market St # B, Greensboro, NC 27403-4443 | 2008-06-16 |
Find all providers with the same taxonomy |
City | WINSTON SALEM |
Zip Code | 27106 |
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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.