Individual
DR. DANIEL KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
718 SMYTH RD, MANCHESTER, NH 03104-7007
(603) 624-4366
Mailing address
718 SMYTH RD, MANCHESTER, NH 03104-7007
(603) 624-4366
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0102201805
VA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
0102201805
VA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
16518
NH
207RP1001X
Pulmonary Disease Physician
0102201805
VA
207RP1001X
Pulmonary Disease Physician
Primary
16518
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3098859
—
NH
01
—
P01398318
RAILROAD MEDICARE
NH
Enumeration date
01/12/2006
Last updated
03/10/2022
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