EUNKUK KIM


Address: Beacon Hill Dr, Apt A, Winston Salem, NC 27106
Phone: 3369976842

EUNKUK KIM (NPI# 1861641599) 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) 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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225400000X Rehabilitation Practitioner 147419 NC Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NC MEDICOST A0037895000 01

Office Location

Street Address BEACON HILL DR
APT A
City WINSTON SALEM
State NC
Zip Code 27106

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 225400000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Rehabilitation Practitioner

Taxonomy Definition

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

Providers in the same taxonomy and state

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
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Competitor

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City WINSTON SALEM
Zip Code 27106

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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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