HAE KYONG KIM NELSON M.D. NPI 1790729218

NPI Information

NPI: 1790729218
Provider Name: HAE KYONG KIM NELSON, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
200 PATEWOOD DR
SUITE A120
GREENVILLE, SC
ZIP 29615
Phone: (864) 454-2670
Get Directions

Hae Kyong Kim Nelson, M.D. is a pediatrics in Greenville, SC. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Hae Kyong Kim Nelson, M.D. NPI is 1790729218. 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:

200 PATEWOOD DR
SUITE A120
GREENVILLE, SC
ZIP 29615-593
Phone: (864) 454-2670
Fax: (864) 454-2679

The enumeration date for this NPI number is 6/15/2006 and was last updated on 1/8/2013.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		20480	SOUTH CAROLINA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	571004971027	OTHER	SOUTH CAROLINA	BLUECHOICE HEALTHPLAN ID
2	370017229	OTHER	SOUTH CAROLINA	RR MEDICARE
3	571004971024	OTHER	SOUTH CAROLINA	BCBS OF SC ID
4	H20782	MEDICARE UPIN	SOUTH CAROLINA
5	7744166	OTHER	SOUTH CAROLINA	AETNA ID
6	3816691	OTHER	SOUTH CAROLINA	CIGNA ID
7	204807	MEDICAID	SOUTH CAROLINA
8	H207827951	MEDICARE PIN	SOUTH CAROLINA

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

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »