Provider Type Icon

YOUNG UN KIM NPI 1700274347


NPI Information

NPI: 1700274347
Provider Name: YOUNG UN KIM
Classification: Clinical Nurse Specialist - 364SA2200X
Entity Type: Individual

Specialization: Adult Health

Organization: PREMIER HEALTH SPECIALISTS INC

PECOS Registration: Yes

Address:
30 E APPLE ST
STE 5254A
DAYTON, OH
ZIP 45409
Phone: (937) 208-4200
Get Directions

Young Un Kim is an adult health clinical nurse specialist in Dayton, OH with 10 years of experience. Young Un Kim NPI is 1700274347. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduation Year:2014

The provider's business location address is:

30 E APPLE ST
STE 5254A
DAYTON, OH
ZIP 45409-939
Phone: (937) 208-4200
Fax: (937) 208-4205

The NPI 1700274347 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 1/6/2015 and was last updated on 10/17/2015.


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
1364SA2200XClinical Nurse SpecialistAdult HealthCOA.16955-NSOHIOYes

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
10116918MEDICAIDOHIO
2H434270MEDICARE PINOHIO

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: 11/14/2023

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.