Organization
HYUNG-BAE KIM MD PC
Active
Other names
Hyungbae Kim MD
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HYUNG-BAE KIM MD (MD)
(570) 823-1169
Entity
Organization
Contact information
Practice address
545 N RIVER ST, SUITE 210, WILKES BARRE, PA 18702-2600
(570) 823-1169
(570) 823-2468
Mailing address
545 N RIVER ST, SUITE 210, WILKES BARRE, PA 18702-2600
(570) 823-1169
(570) 823-2468
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD019119E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007414870008
—
PA
01
—
1427276
BCBS
PA
01
—
208813
HEALTH AMERICA
—
01
—
815732
1ST PRIORITY
PA
Enumeration date
08/29/2006
Last updated
08/22/2020
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