STEPHEN KIM


Address: 175 Sam Sibley Dr., Natchitoches, LA 71457
Phone: 9136870679

STEPHEN KIM (NPI# 1912444779) 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) 1912444779
Entity Type Individual
Full Name STEPHEN KIM
Credential ATC
Practice Address 175 Sam Sibley Dr.
Natchitoches
LA 71457
Mailing Address 5348 Hickory Hill Dr Se
Salem
OR 97306-1600
Practice Telephone 9136870679
Mailing Telephone 9136870679
Enumeration Date 2017-01-31
Last Update Date 2017-05-05
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
LA Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
2694625 OR Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers STEPHEN KIM

NPI Name Taxonomy Address Enumeration
1265765473 Stephen Joseph Kim Dentist 1200 112th Ave Ne Ste B275, Bellevue, WA 98004-3738 2009-09-08
1043434483 Stephen Hojong Kim Dentist 4061 Kirkpatrick Ln, Suite 100, Flower Mound, TX 75028 2007-04-13
1760539068 Stephen Sae Chang Kim Family Medicine 177 Mouse Creek Rd Nw, Cleveland, TN 37312-3838 2007-01-05
1659449791 Stephen Kim Dentist 7841 Commonwealth Ave, Buena Park, CA 90621-2422 2006-11-30
1376563403 Stephen Alan Kim Family Medicine 3140 Legacy Dr Ste 720, Frisco, TX 75034-7917 2006-07-20
1740226893 Stephen S Kim Internal Medicine 222 Ne Park Plaza Dr, Suite 100, Vancouver, WA 98684-5895 2006-06-20
1558909408 Stephen Kim Pharmacist 1540 E Highland Ave, San Bernardino, CA 92404-4614 2019-12-11
1285175109 Stephen Kim Orthotist 2434 W Peterson Ave, Chicago, IL 60659-4113 2017-03-10
1851750400 Stephen Kim Dentist 5545 E Broadway Blvd Ste 107, Tucson, AZ 85711 2016-02-10
1225387848 Stephen S Kim Pharmacist 2201 Se Loop 820, Fort Worth, TX 76119-5863 2012-08-29

Office Location

Street Address 175 SAM SIBLEY DR.
City NATCHITOCHES
State LA
Zip Code 71457

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427615848 Special Crawford Case Manager/Care Coordinator 419 Wasington Ave, Mansfield, LA 71457 2019-05-21
1497232748 Hand In Hand Hospice Care LLC Hospice Care, Community Based 135 East 5th Street, Natchitoches, LA 71457 2018-07-19
1851809214 Latoya M Gray Counselor 132 Kelly St, Natchitoches, LA 71457 2018-01-18
1467968024 Amanda K Cully Case Manager/Care Coordinator 200 Rapides Dr Ste A, Natchitoches, LA 71457 2017-12-19
1972021749 Jessica Smith Case Manager/Care Coordinator 325 South Drive, Natchitoches, LA 71457 2017-08-31
1689190720 Chartia Hurt Counselor 430 Dixie Plaza, Natchitoches, LA 71457 2017-08-21
1902331556 Daima Atinkah Specialist/Technologist 468 Caspari Drive, Natchitoches, LA 71457 2017-04-20
1548794969 Stephanie Sowell Counselor 120 Laird Fletcher Rd, Natchitoches, LA 71457 2017-04-12
1538692579 Cynthia Harmon Counselor 1025 Hill Ave, Natchitoches, LA 71457 2017-04-06
1104365097 Justin Dewayne Evans I Counselor 820 Gentry Davis, Natchitoches, LA 71457 2017-02-13
Find all providers in zip 71457

Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568094209 Carmen Waskom Specialist/Technologist 900 Fish Hatchery Rd, Natchitoches, LA 71457-6524 2020-02-11
1083140628 Brittany Goldberg Specialist/Technologist 103 Elvira Dr # 103, Natchitoches, LA 71457-3176 2017-05-02
1902331556 Daima Atinkah Specialist/Technologist 468 Caspari Drive, Natchitoches, LA 71457 2017-04-20
1942746706 Taylor Shealy Wilkes Specialist/Technologist 468 Caspari Dr, Natchitoches, LA 71497-0001 2017-01-17
1891162889 Devin Thulin Specialist/Technologist 220 S Jefferson St Prather Coliseum, Natchitoches, LA 71497-0001 2015-08-26
1619147949 Jeremiah Richard Musser Specialist/Technologist 3800 University Pkwy, Apt. #112, Natchitoches, LA 71457-3581 2008-03-03
1952509275 Chelsa Gene't Fontenot Specialist/Technologist 120 Williams Ave, Natchitoches, LA 71457-5026 2007-07-08
1457444127 Stefanie Susanna Rodgers Specialist/Technologist 4052 University Pkwy, Natchitoches, LA 71457 2006-10-02
1801825088 Victoria Anne Du Preez Specialist/Technologist 468 Caspari St, Athletic Field House--nsu, Natchitoches, LA 71497-0003 2006-07-01
1417940859 Isaac Sean Colbert Specialist/Technologist Northwestern State University, Athletic Fieldhouse, Natchitoches, LA 71497-0001 2005-08-30
Find all providers in NATCHITOCHES

Competitor

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City NATCHITOCHES
Zip Code 71457

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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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