DR. KUN ZOO KIM M.D. NPI 1568469591

NPI Information

NPI: 1568469591
Provider Name: DR. KUN ZOO KIM, M.D.
Classification: Otolaryngology - 207YS0123X
Entity Type: Individual

Specialization: Facial Plastic Surgery

Address:
3042 OAKCLIFF RD
SUITE 200
DORAVILLE, GA
ZIP 30340
Phone: (770) 458-4255
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DR. Kun Zoo Kim, M.D. is a facial plastic surgery otolaryngology in Doraville, GA. The provider is an otolaryngologist who specializes in facial plastic surgery. DR. Kun Zoo Kim, M.D. NPI is 1568469591. 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:

3042 OAKCLIFF RD
SUITE 200
DORAVILLE, GA
ZIP 30340-699
Phone: (770) 458-4255
Fax: (770) 458-4406

The enumeration date for this NPI number is 7/6/2005 and was last updated on 1/28/2009.

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	207Y00000X	Otolaryngology		039608	GEORGIA	No
2	207YS0123X	Otolaryngology	Facial Plastic Surgery	039608	GEORGIA	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	G11658	MEDICARE UPIN	GEORGIA
2	000670458F	MEDICAID	GEORGIA
3	516833	OTHER	GEORGIA	AETNA
4	0683598	OTHER	GEORGIA	CIGNA
5	04BDBW05	MEDICARE ID-TYPE UNSPECIFIED	GEORGIA
6	52498637	OTHER	GEORGIA	BCBS OF GEORGIA

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

NPI Synchronization or Removal

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