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GRACE EUN KIM DO NPI 1205397346


NPI Information

NPI: 1205397346
Provider Name: GRACE EUN KIM, DO
Classification: General Practice - 208D00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
10465 MELODY DR STE 322
NORTHGLENN, CO
ZIP 80234
Phone: (720) 934-1842
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Grace Eun Kim, DO is a general practice in Northglenn, CO with 5 years of experience. 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 Grace Eun Kim, DO NPI is 1205397346. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: ROCKY VISTA UNIVERSITY COLLEGE OF OSTEOPATHIC MED
Graduation Year:2019

The provider's business location address is:

10465 MELODY DR STE 322
NORTHGLENN, CO
ZIP 80234-126
Phone: (720) 934-1842

The NPI 1205397346 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 3/30/2019 and was last updated on 11/30/2021.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineDR.0065467COLORADONo
2208D00000XGeneral Practice0065467COLORADOYes

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.