Individual
DR. JE HONG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
177 ENCLAVE DRIVE, NEW CASTLE, PA 16105-3207
(724) 658-5523
(724) 658-8039
Mailing address
177 ENCLAVE DRIVE, NEW CASTLE, PA 16105-3207
(724) 658-5523
(724) 658-8039
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AK000400L
PA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD036380L
PA
208VP0000X
Pain Medicine Physician
MD036380L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0708203
—
PA
01
—
KI013072
MEDICARE ID
PA
Enumeration date
11/01/2006
Last updated
11/06/2007
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