Individual
EDWARD KIM
Active
Individual
EDWARD KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101275199
VA
207R00000X
Internal Medicine Physician
223349
NY
207R00000X
Internal Medicine Physician
Primary
MD471851
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026346202
UNIVERA #
NY
01
—
000527458002
HEALTH NOW BCBS # FOR WS
NY
01
—
000527458003
HEALTH NOW BCBS # FOR AU
NY
01
—
040426003139
FIDELIS CARE #
NY
01
—
040426003141
FIDELIS CARE # FOR WS
NY
01
—
0493261
IHA #
NY
01
—
159668BJ
PREFERRED CARE #
NY
01
—
223349-2W
WORKERS COMP #
NY
01
—
2591880
GHI PPO #
NY
01
—
P00249261
MEDICARE RAILROAD #
NY
Enumeration date
05/03/2006
Last updated
01/23/2023
Update your record
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