CHRISTOPHER KIM M.D. NPI 1184039059

NPI Information

Christopher Kim, M.D. is a diagnostic radiology radiology in Santa Rosa, CA with 10 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Christopher Kim, M.D. NPI is 1184039059. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduation Year:2014

The provider's business location address is:

3883 AIRWAY DR STE 100
SANTA ROSA, CA
ZIP 95403-672
Phone: (707) 521-4480
Fax: (707) 521-4460

The NPI 1184039059 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 6/30/2014 and was last updated on 6/16/2021.

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:

Other Identifiers

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

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