DR. JAMES HANKIL KIM (NPI# 1073140265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073140265 |
| Entity Type | Individual |
| Full Name | DR. JAMES HANKIL KIM |
| Credential | MD |
| Practice Address |
Building 52/lake Drive Mountain Home TN 37684 |
| Practice Telephone | 4234398000 |
| Practice Fax Number | 4234392200 |
| Mailing Telephone | 4234398000 |
| Mailing Fax Number | 4234392200 |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2020-03-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538777255 | James Bong-suk Kim | Optometrist | 19747 W 12 Mile Rd Ste L7a, Southfield, MI 48076-2584 | 2020-07-20 |
| 1679054894 | James Kim | Occupational Therapist | 11926 La Mirada Blvd., La Mirada, CA 90638 | 2018-08-25 |
| 1093200784 | James Chan Kim | Pharmacist | 5734 256th St Fl 2nd, Little Neck, NY 11362-2141 | 2018-06-26 |
| 1972036341 | James Kim | Student in an Organized Health Care Education/Training Program | 3535 Southern Boulevard, Kettering, OH 45429 | 2017-04-04 |
| 1053716589 | James Kim | Acupuncturist | 5 Laketrail Cv, Buena Park, CA 90621-1660 | 2014-10-27 |
| 1093135931 | James Moo Kim | Student in an Organized Health Care Education/Training Program | 9 Blueberry Cir, Andover, MA 01810-5026 | 2014-04-18 |
| 1801149802 | James Kyo Kim | Internal Medicine | 4950 Sunset Ave, 6th Floor, Los Angeles, CA 90027-4156 | 2012-10-16 |
| 1083990725 | James J Kim | Pharmacist | 4009 Lincoln Blvd., Walgreens, Marina Del Rey, CA 90292 | 2011-10-26 |
| 1538455803 | James Chang Ho Kim | Optometrist | 240 Graham Ave, Brooklyn, NY 11206-1204 | 2011-06-24 |
| 1336378371 | James T Kim | Internal Medicine | 502 Euclid Ave Ste 104, National City, CA 91950 | 2009-07-13 |
| Street Address |
BUILDING 52/LAKE DRIVE |
| City | MOUNTAIN HOME |
| State | TN |
| Zip Code | 37684 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881219772 | Hemraj Anand Persaud | Student in an Organized Health Care Education/Training Program | Building 52/lake Drive, Mountain Home, TN 37684 | 2020-06-16 |
| 1750900718 | Geetha Vyas | Student in an Organized Health Care Education/Training Program | Building 52/lake Drive, Mountain Home, TN 37685 | 2020-04-10 |
| 1477182962 | Sean Swerdan | Student in an Organized Health Care Education/Training Program | Building 52/lake Drive, Mountain Home, TN 37684 | 2020-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730524 | Kendra Lee Thorne | Psychologist | Corner of Lamont St and Veterans Way, Building 160, Mountain Home, TN 37684 | 2020-11-04 |
| 1255930160 | Maximillian Scott Crockett | Optometrist | James. H Quillen Vamc, Eye Clinic 112e, Mountain Home, TN 37684 | 2020-10-21 |
| 1699393256 | Joshua Thomas Spencer | Pharmacist | Veterans Way and Lamont St, Mountain Home, TN 37684 | 2020-07-10 |
| 1932736030 | Trishna Sharma | Student in an Organized Health Care Education/Training Program | Building 52/lake Drive Mountain Home, Johnson City, TN 37684 | 2020-03-26 |
| 1508421884 | Sarvatit Patel | Student in an Organized Health Care Education/Training Program | 52 Lake Dr, Mountain Home, TN 37684 | 2019-05-02 |
| 1902366024 | Katelyn Cserjes | Student in an Organized Health Care Education/Training Program | Building 52 Lake Drive Va Medical Center, Mountain Home, TN 37684 | 2019-03-24 |
| 1114404282 | Anesa Ellen Hughes | Pharmacist | Veterans Way and Lamont St Mountain Home, Mountain Home, TN 37684 | 2018-07-23 |
| 1508352287 | Leon Nguyen | Optometrist | James H. Quillen Vamc - Lamont St & Veterans Way, Eye Clinic 112e, Mountain Home, TN 37684 | 2018-07-06 |
| 1649761750 | Bahaaeldin Ibrahim Mahmoud Youssef | Student in an Organized Health Care Education/Training Program | Va Building 1 Carl A Jones Hall, Dogwood Avenue, Mountain Home, TN 37684 | 2018-05-24 |
| 1447776075 | Mekindra Williams | Nurse Practitioner | James H Quillen Va Healthcare System, Corner of Lamont and Veterans Way, Mountian Home, TN 37684 | 2017-08-15 |
| Find all providers in zip 37684 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508421884 | Sarvatit Patel | Student in an Organized Health Care Education/Training Program | 52 Lake Dr, Mountain Home, TN 37684 | 2019-05-02 |
| 1902366024 | Katelyn Cserjes | Student in an Organized Health Care Education/Training Program | Building 52 Lake Drive Va Medical Center, Mountain Home, TN 37684 | 2019-03-24 |
| 1649761750 | Bahaaeldin Ibrahim Mahmoud Youssef | Student in an Organized Health Care Education/Training Program | Va Building 1 Carl A Jones Hall, Dogwood Avenue, Mountain Home, TN 37684 | 2018-05-24 |
| 1497280051 | Sara Masood | Student in an Organized Health Care Education/Training Program | Department of Pathology, Vamc, Building 1 Room B30, Mountain Home, TN 37684 | 2017-04-20 |
| 1275067464 | Carrie Elizabeth Robey | Student in an Organized Health Care Education/Training Program | Bldg 52, Lake Dr, Va Medical Center, Dept of Psychiatry & Behavioral Science, Qcom, Mountain Home, TN 37684 | 2017-04-14 |
| 1386091700 | Jean-maurice Miranda Salcedo | Student in an Organized Health Care Education/Training Program | Va Bldg 52 Dogwood Avenue, Mountain Home, TN 37684 | 2016-05-16 |
| 1043665151 | Laleh Montaser Kouhsari | Student in an Organized Health Care Education/Training Program | Etsu, Dept. of Pathology, Va, Bldg. 1, Rm. B-30, Mountain Home, TN 37864 | 2016-04-26 |
| 1790148948 | Christine Ann Moore | Student in an Organized Health Care Education/Training Program | Carl A. Jones Hall, 1 Dogwood Avenue, Va Building 1, Mountain Home, TN 37684 | 2016-04-04 |
| 1699156620 | Vandana Pai | Student in an Organized Health Care Education/Training Program | Carl A. Jones Hall, Va Building 1, Dogwood Avenue, Mountain Home, TN 37684 | 2015-06-16 |
| 1245627660 | Syed Imran Mehdi Zaidi | Student in an Organized Health Care Education/Training Program | Building 1 Dogwood Avenue, Carl A. Jones Hall, Va, Mountain Home, TN 37684 | 2015-04-23 |
| Find all providers in MOUNTAIN HOME | ||||
| City | MOUNTAIN HOME |
| Zip Code | 37684 |
Please comment or provide details below to improve the information on DR. JAMES HANKIL KIM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.