SEONG CHEOL KIM MD NPI 1457351702

NPI Information

  • NPI: 1457351702
  • Provider Name: SEONG CHEOL KIM, MD
  • Classification: General Practice - 208D00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2647 MEADOWWEDGE LOOP
    ST CLOUD, FL
    ZIP 34772
  • Phone: (407) 793-4608

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NPI Details

Seong Cheol Kim, MD is a general practice in St Cloud, FL. 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 Seong Cheol Kim, MD NPI is 1457351702. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2647 MEADOWWEDGE LOOP
ST CLOUD, FL
ZIP 34772
Phone: (407) 793-4608
Fax: (269) 651-1411

The NPI 1457351702 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 7/28/2005 and was last updated on 11/17/2023.

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
12083X0100XPreventive MedicineOccupational Medicine039276MICHIGANNo
2208D00000XGeneral PracticeSK039276MICHIGANNo
3208D00000XGeneral Practice4301039276MICHIGANYes
42083P0901XPreventive MedicinePublic Health & General Preventive Medicine039276MICHIGANNo

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
14542300MEDICAIDMICHIGAN

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: 11/21/2025

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