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J KIM RADIOLOGY ASSOCIATES PA NPI 1841293883


NPI Information

NPI: 1841293883
Provider Name: J KIM RADIOLOGY ASSOCIATES PA

Doing Business As: PRO RADIOLOGY

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
122 S CENTRE ST
CUMBERLAND, MD
ZIP 21502
Phone: (301) 724-1646
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J KIM RADIOLOGY ASSOCIATES PA is a specialist in Cumberland, MD. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. J KIM RADIOLOGY ASSOCIATES PA NPI is 1841293883. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Pro Radiology.

The provider's business location address is:

122 S CENTRE ST
CUMBERLAND, MD
ZIP 21502-021
Phone: (301) 724-1646
Fax: (301) 724-7429

The provider's authorized official is Jong K Kim .
The authorized official title is President and has the following contact phone number (301) 724-1646.

The enumeration date for this NPI number is 5/23/2005 and was last updated on 11/20/2007.


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
1174400000XSpecialistYes

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
1DA4688OTHERRAILROAD MEDICARE
2J247OTHERMARYLANDMD BLUE SHIELD
39338813MEDICARE PINWEST VIRGINIA
49338814MEDICARE PINWEST VIRGINIA
5812MMEDICARE PINMARYLAND
60208455000MEDICAIDWEST VIRGINIA
79338812MEDICARE PINWEST VIRGINIA
8215AOTHERMARYLANDMD BLUE SHIELD

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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