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DR. KIM'S ADULT CLINIC PLLC NPI 1174042485


NPI Information

NPI: 1174042485
Provider Name: DR. KIM'S ADULT CLINIC, PLLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
8100 TWISTED HICKORY RD
BLADENBORO, NC
ZIP 28320
Phone: (910) 876-7301
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DR. KIM'S ADULT CLINIC, PLLC is a general practice in Bladenboro, NC. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. KIM'S ADULT CLINIC, PLLC NPI is 1174042485. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8100 TWISTED HICKORY RD
BLADENBORO, NC
ZIP 28320-010
Phone: (910) 876-7301
Fax: (910) 648-5650

The provider's authorized official is Jong Whan Kim .
The authorized official title is Owner/provider and has the following contact phone number (910) 876-7301.

The enumeration date for this NPI number is 9/18/2017 and was last updated on 7/21/2022.


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
1208D00000XGeneral Practice200101455NORTH CAROLINAYes

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: 5/5/2024

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