Individual
DR. JOHN RAPHAEL KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6119 W JEFFERSON BLVD, FORT WAYNE, IN 46804-3072
(260) 432-1568
(260) 432-4946
Mailing address
6119 W JEFFERSON BLVD, FORT WAYNE, IN 46804-3072
(260) 432-1568
(260) 432-4946
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
10142685
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0983280
—
OH
05
—
100376180
—
IN
01
—
300039257
MEDICARE RAILROAD
IN
01
—
300077566
MEDICARE RAILROAD
IN
Enumeration date
01/27/2006
Last updated
12/16/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us