DR. HENRY J KIM (NPI# 1871555326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871555326 |
| Entity Type | Individual |
| Full Name | DR. HENRY J KIM |
| Credential | M.D. |
| Practice Address |
58 Roy Beall Drive Luverne AL 36049-7329 |
| Mailing Address |
101 Hospital Circle Luverne AL 36049-7329 |
| Practice Telephone | 3343351212 |
| Practice Fax Number | 3343351217 |
| Mailing Telephone | 3343351212 |
| Mailing Fax Number | 3343351217 |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2011-04-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 25MA02405700 | NJ | Other Service Providers |
| Y | 2080I0007X |
Pediatrics Specialization: Clinical & Laboratory Immunology |
MD.30559 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0467103 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912550021 | Henry Kim | Dentist | 26200 Redlands Blvd Apt 184, Redlands, CA 92373-7792 | 2019-07-17 |
| 1588850341 | Henry Kim | Acupuncturist | 5006 Montgomery Rd, Ellicott City, MD 21043-6719 | 2007-09-14 |
| 1174654339 | Henry H Kim | Dentist | 5680 W Flamingo Rd, Suite A, Las Vegas, NV 89103-0169 | 2007-03-08 |
| 1700447091 | Henry Hyungjoo Kim | Acupuncturist | 650 E Thousand Oaks Blvd, Thousand Oaks, CA 91360-6009 | 2019-06-26 |
| 1366924144 | Henry Rok Kim | Dentist | 2417 Pacific Ave Se Ste A, Olympia, WA 98501-2052 | 2018-08-29 |
| 1962753269 | Henry Kim | Pharmacist | 12311 Academy Rd, Philadelphia, PA 19154-1927 | 2012-09-26 |
| 1972853430 | Henry Kim | Student in an Organized Health Care Education/Training Program | 110 Rehill Ave, Somerville, NJ 08876 | 2012-09-12 |
| 1598046575 | Henry Kim | Pharmacist | 620 Lafayette Rd, Hampton, NH 03842-3348 | 2011-09-02 |
| 1932309499 | Henry Hyuck Kun Kim | Dentist | 5414 Sunrise Blvd, Suite C, Citrus Heights, CA 95610-7803 | 2007-07-23 |
| 1083740708 | Henry Yunwoong Kim | Physical Medicine & Rehabilitation | 1460 N 16th Ave, Suite D, Yakima, WA 98902-7102 | 2007-02-26 |
| Street Address |
58 ROY BEALL DRIVE |
| City | LUVERNE |
| State | AL |
| Zip Code | 36049-7329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841711918 | Cherokee Community Dialysis, LLC | Clinic/Center | 485 Northwood Drive, Centre, AL 36049 | 2017-06-29 |
| 1184171761 | Ayida Cumberland | Counselor | 8 South Place Drive, # D3, Luverne, AL 36049 | 2016-09-01 |
| 1376851162 | State of Alabama Department of Public Health | Nurse Practitioner | 15 Hospital Rd., Crenshaw Co. Health Dept, Luverne, AL 36049 | 2010-09-15 |
| 1720270697 | Professional Resources Management Psychiatric Services, LLC | Psychiatric Hospital | 150 Hospital Drive, Luverne, AL 36049 | 2007-08-15 |
| 1194800706 | Crenshaw Drugs Inc | Durable Medical Equipment & Medical Supplies | 1440 S Forest Ave, Luverne, AL 36049 | 2006-10-25 |
| 1477649705 | James Thomas Sanders | Dentist | 1666 S Forest Ave, Luverne, AL 36049 | 2006-10-05 |
| 1568631992 | State of Alabama | Public Health or Welfare | Highway 331 South, Luverne, AL 36049-0151 | 2008-02-29 |
| 1780646307 | Hometown Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 80 N Forest Ave, Luverne, AL 36049-1133 | 2006-04-06 |
| 1457308066 | Luverne Health and Rehabilitation, LLC | Skilled Nursing Facility | 142 W 3rd St, Luverne, AL 36049-1348 | 2006-05-28 |
| 1023247129 | Sheena Torial Hill | Occupational Therapist | 142 W 3rd St, Luverne, AL 36049-1348 | 2009-07-09 |
| Find all providers in zip 36049 | ||||
| Taxonomy Code | 2080I0007X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Clinical & Laboratory Immunology |
| A pediatrician who specializes in clinical and laboratory immunology disease management. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A certification was, but is no longer issued by the American Board of Pediatrics. |
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| 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.