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Organization
WON HEE KIM MD
Active
Organization
WON HEE KIM MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WONHEE KIM M.D. (OWNER)
(215) 342-2015
Entity
Organization
Contact information
Practice address
309 FLORENCE AVE APT 914N, JENKINTOWN, PA 19046-2613
(216) 342-2015
(215) 342-0360
Mailing address
309 FLORENCE AVE APT 914N, JENKINTOWN, PA 19046-2613
(216) 342-2015
(215) 342-0360
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD421134
PA
208000000X
Pediatrics Physician
MD421134
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011001010002
—
PA
01
—
1083654214
NPI
PA
01
—
1913496
HIGHMARK ASSIGNMENT ACCOU
PA
01
—
MD421134
MEDICAL LICENSE
PA
Enumeration date
12/07/2006
Last updated
08/15/2022
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