Individual
DR. CHEE H KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6333 MAIN ST, SUITE 2, WILLIAMSVILLE, NY 14221-5800
(716) 630-1484
(716) 630-1413
Mailing address
6255 SHERIDAN DR, SUITE 304, WILLIAMSVILLE, NY 14221-4836
(716) 857-8666
(716) 857-8944
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
180360-1
NY
207RC0001X
Clinical Cardiac Electrophysiology Physician
180360-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00040387602
UNIVERA
NY
01
—
000524475008
HEALTH NOW
NY
01
—
0021748
GHI
NY
05
—
01592869
—
NY
01
—
161000580
UNITED HEALTHCARE
NY
01
—
2190409
IHA
NY
Enumeration date
05/01/2006
Last updated
09/21/2011
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