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DR. KIM HUNG LISS MD NPI 1316235575


NPI Information

NPI: 1316235575
Provider Name: DR. KIM HUNG LISS, MD
Classification: Pediatrics - 2080T0004X
Entity Type: Individual

Specialization: Pediatric Transplant Hepatology

PECOS Registration: Yes

Address:
1 CHILDRENS PL
DIV PED GASTRO, HEPATOLOGY AND NUTRITION
SAINT LOUIS, MO
ZIP 63110
Phone: (314) 454-6173
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DR. Kim Hung Liss, MD is a pediatric transplant hepatology pediatrics in Saint Louis, MO. The provider is a pediatrician with expertise in transplant hepatology encompasses the special knowledge and skill required of pediatric gastroenterologists to care for patients prior to and following hepatic transplantation; it spans all phases of liver transplantation. DR. Kim Hung Liss, MD NPI is 1316235575. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1 CHILDRENS PL
DIV PED GASTRO, HEPATOLOGY AND NUTRITION
SAINT LOUIS, MO
ZIP 63110-002
Phone: (314) 454-6173
Fax: (844) 231-8912

The NPI 1316235575 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/20/2011 and was last updated on 4/25/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics2014007664MISSOURINo
22080P0206XPediatricsPediatric Gastroenterology2014007664MISSOURINo
32080T0004XPediatricsPediatric Transplant Hepatology2014007664MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1200055407MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.