DR. RYAN JOHAN KIM M.D. NPI 1881905222

NPI Information

NPI: 1881905222
Provider Name: DR. RYAN JOHAN KIM, M.D.
Classification: Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

Organization: MID MICHIGAN VASCULAR SURGERY, P.C.

PECOS Registration: Yes

Address:
4701 TOWNE CENTRE RD STE 202
SAGINAW, MI
ZIP 48604
Phone: (989) 790-2600
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DR. Ryan Johan Kim, M.D. is a vascular surgery surgery in Saginaw, MI with 14 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. DR. Ryan Johan Kim, M.D. NPI is 1881905222. 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:

4701 TOWNE CENTRE RD STE 202
SAGINAW, MI
ZIP 48604-800
Phone: (989) 790-2600

The NPI 1881905222 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 6/30/2010 and was last updated on 3/26/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208600000X	Surgery		4301096627	MICHIGAN	No
2	2086S0129X	Surgery	Vascular Surgery	4301096627	MICHIGAN	Yes
3	2086S0129X	Surgery	Vascular Surgery	2015018177	MISSOURI	No

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: 11/14/2023

NPI Synchronization or Removal

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