HYUNG T KIM (NPI# 1417382821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417382821 |
| Entity Type | Individual |
| Full Name | HYUNG T KIM |
| Credential | M.D. |
| Practice Address |
11 Crestwood Dr Saint Louis MO 63105-3032 |
| Practice Telephone | 3142559255 |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2013-09-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 2007001489 | MO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649654286 | Hyung Joon Kim | Dentist | 1626 Beacon St, Brookline, MA 02446-2201 | 2015-07-14 |
| 1346569639 | Hyung K Kim | Acupuncturist | 7215 Little River Tnpk, Annandale, VA 22003 | 2010-05-26 |
| 1831347962 | Hyung S Kim X | Pharmacist | 124 Wilmot Rd., Scarsdale, NY 10583-6149 | 2008-09-03 |
| 1992970206 | Hyung J. Kim | Internal Medicine | 471 S Van Ness Ave, San Francisco, CA 94103-3629 | 2008-04-28 |
| 1144408451 | Hyung Kim | Acupuncturist | 1038 Bergen Blvd, Fort Lee, NJ 07024-1655 | 2008-02-08 |
| 1457554123 | Hyung Tack Kim | Dentist | 2681 W Olympic Blvd Ste 220, Los Angeles, CA 90006-2883 | 2007-06-08 |
| 1194931329 | Hyung Jik Kim | Acupuncturist | 7002 Moody St, Suite#111-a, La Palma, CA 90623-1180 | 2007-05-15 |
| 1609098540 | Hyung Kim | Radiology | 1200 N. State Street, Rm 3550, Los Angeles, CA 90033 | 2007-05-02 |
| 1932277373 | Hyung Joon Kim | Dentist | 1421 S Caton Ave, Suite 103, Baltimore, MD 21227-1025 | 2006-12-02 |
| 1891792693 | Hyung Kim | Urology | 8635 W 3rd St Ste 1070w, Los Angeles, CA 90048-6137 | 2005-07-07 |
| Street Address |
11 CRESTWOOD DR |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63105-3032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861016545 | Amy Piontek | Registered Nurse | Habif Health and Wellness Center, 6643 Shepley Drive, St. Louis, MO 63105 | 2020-05-29 |
| 1427520634 | Justin Kelly | Chiropractor | 8011 Maryland Avenue, St. Louis, MO 63105 | 2018-12-28 |
| 1720576663 | St. Louis Center for Cognitive Health, LLC | Clinic/Center | 7711 Bonhomme Ave Ste 350, Clayton, MO 63105 | 2018-04-26 |
| 1457849317 | A Storied Life Counseling LLC | Social Worker | 8000 Bonhomme Ave Ste 321, Clayton, MO 63105 | 2018-04-26 |
| 1669984142 | Peter Bogart | Counselor | 7710 Carondelet, Suite #204, Saint Louis, MO 63105 | 2017-10-24 |
| 1356891162 | Medical West Respiratory Pharmacy, LLC | Pharmacy | 440 South Brentwood Blvd, Clayton, MO 63105 | 2016-10-05 |
| 1710435565 | James Breihan | Occupational Therapist | 401 Corporate Park Drive, Clayton, MO 63105 | 2016-09-21 |
| 1730566928 | Frank Theus | Counselor | 7710 Carondelet Ave Ste 220, Saint Louis, MO 63105 | 2015-04-27 |
| 1962895896 | John B Martin | Obstetrics & Gynecology | 312 N. Meramec #300, St. Louis, MO 63105 | 2015-03-17 |
| 1861814261 | Jesse Marie Civello | Physical Therapist | 222 S Meramec Avenue, Suite 100, Clayton, MO 63105 | 2014-01-20 |
| Find all providers in zip 63105 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790205854 | Zachary Avital Goodman | General Practice | 6642 Clayton Rd # 278, Saint Louis, MO 63117-1602 | 2017-06-20 |
| 1174926224 | Anita Dewan | General Practice | 9917 Grandview Forest Ct, Saint Louis, MO 63127-0046 | 2014-10-03 |
| 1356755201 | Jessica Ellie Ma | General Practice | 216 S Kingshighway Blvd Fl 6, 6th Floor, Saint Louis, MO 63110-1026 | 2014-06-19 |
| 1235550385 | Doctor's On The Way, Inc | General Practice | 712 N 2nd St, Ste 310, Saint Louis, MO 63102-2550 | 2013-12-16 |
| 1518398916 | John Allen Cooper | General Practice | 40 N Kingshighway Blvd Apt 13f, Saint Louis, MO 63108-1343 | 2013-12-10 |
| 1356617443 | Kirsten Frances Dunn | General Practice | 1040 N Mason Rd Ste 103, Ste 103, Saint Louis, MO 63141-6361 | 2012-03-22 |
| 1902199623 | Care Plus Medical Group LLC | General Practice | 10650 Gateway Blvd, Saint Louis, MO 63132-1802 | 2011-05-27 |
| 1437474202 | Debra Lynne Moss | General Practice | 12929 Ballantine Ct, Saint Louis, MO 63146-3701 | 2010-04-05 |
| 1558538850 | Patrice Lynn Wakefield | General Practice | 514 Donne Ave, Saint Louis, MO 63130-3918 | 2008-05-15 |
| 1578736500 | George D Flanagan Md Inc | General Practice | 2715 Union Blvd # 6, Saint Louis, MO 63113-2001 | 2008-04-10 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63105 |
Please comment or provide details below to improve the information on HYUNG T 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.