Organization
DR. KIM'S REHABILITATION OFFICE, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES B. KIM D.O. (OWNER)
(610) 863-1644
Entity
Organization
Contact information
Practice address
5 S BROADWAY, WIND GAP, PA 18091-1423
(610) 863-1644
(610) 863-4273
Mailing address
5 S BROADWAY, WIND GAP, PA 18091-1423
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
OS-007408-E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012661240003
—
PA
Enumeration date
07/13/2006
Last updated
08/22/2020
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