MR. BONG JIK KIM


Address: 50 North Medical Drive 3c120, Otolaryngology Administration Office, Salt Lake City, UT 84132
Phone: 8015817514

MR. BONG JIK KIM (NPI# 1891179024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891179024
Entity Type Individual
Full Name MR. BONG JIK KIM
Credential M.D.
Practice Address 50 North Medical Drive 3c120
Otolaryngology Administration Office
Salt Lake City
UT 84132
Practice Telephone 8015817514
Practice Fax Number 8015855744
Mailing Telephone 8015817514
Mailing Fax Number 8015855744
Enumeration Date 2015-07-17
Last Update Date 2015-07-17
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 50 NORTH MEDICAL DRIVE 3C120
OTOLARYNGOLOGY ADMINISTRATION OFFICE
City SALT LAKE CITY
State UT
Zip Code 84132

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275162331 Scott Andrew Rizzi Student in an Organized Health Care Education/Training Program 30 North 1900 East Som 4c116, Salt Lake City, UT 84132 2020-04-02
1609421403 Monika Fleckenstein Ophthalmology 65 Mario Capecchi Drive, John A. Moran Eye Center, Salt Lake City, UT 84132 2019-08-08
1366975914 Jacob Brandenburg Anesthesiology School of Medicine 30 North 1900 East Room 3c444, Salt Lake City, UT 84132 2017-04-10
1568815082 Anastasia Neufeld Ophthalmology 65 Mario Capecchi Drive, Salt Lake City, UT 84132 2016-07-20
1912350083 Gmaan Alzhrani Student in an Organized Health Care Education/Training Program 175 N. Medical Drive East
, Salt Lake City, UT 84132 2016-07-13
1831544600 Drew Goerke Occupational Therapist 50 N Medical Drive, Som Room #1r73, Salt Lake City, UT 84132 2016-04-29
1043699101 Chris Anderson Physician Assistant 30 North 1900 East #3c344, Salt Lake City, UT 84132 2015-05-22
1689061822 Ryan Clark Thoracic Surgery (Cardiothoracic Vascular Surgery) 30 N 1900 E Som 3c127, Salt Lake City, UT 84132 2015-04-24
1649666264 Kevin Conrad Anesthesiology 30 N 1900 E Room 3c444, Salt Lake City, UT 84132 2015-04-09
1962806786 Curtis Clark Nurse Practitioner 175 North Medical Drive, Salt Lake City, UT 84132 2014-10-22
Find all providers in zip 84132

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982205829 Brittany Nicole Beverly Student in an Organized Health Care Education/Training Program 236 N Sun Arbor Ter Apt 2111, Salt Lake City, UT 84116-4537 2020-11-06
1508484023 Courtney Hook Student in an Organized Health Care Education/Training Program 1860 E 250 S Hper East, Room 208, Salt Lake City, UT 84112 2020-07-10
1669090502 Kelly Maree Gutpell Student in an Organized Health Care Education/Training Program 81 N Mario Capecchi Dr Ste 1a.011, Salt Lake City, UT 84113-1125 2020-07-07
1134744014 Scarlet Reyes Student in an Organized Health Care Education/Training Program 25 S 1100 E Apt 14, Salt Lake City, UT 84102-1514 2020-06-16
1215553151 Andrew Winn Bringhurst Student in an Organized Health Care Education/Training Program 1737 E Imperial Park Sq, Salt Lake City, UT 84106-5104 2020-06-16
1134744287 Jillian G Barker Student in an Organized Health Care Education/Training Program 1345 S 400 E, Salt Lake City, UT 84115-1548 2020-06-15
1114542255 Gustavo Carrillo Student in an Organized Health Care Education/Training Program 1652 W 800 S, Salt Lake City, UT 84104-3112 2020-06-15
1982229035 Cristhian V. Toruno Student in an Organized Health Care Education/Training Program 448 N 1100 W, Salt Lake City, UT 84116-2649 2020-06-15
1144845108 Huong T Pham Student in an Organized Health Care Education/Training Program 319 E Beldon Pl, Salt Lake City, UT 84111-3516 2020-06-15
1790300754 Krista Huffaker Student in an Organized Health Care Education/Training Program 1212 E 500 S # 2, Salt Lake City, UT 84102-3223 2020-06-15
Find all providers in SALT LAKE CITY

Competitor

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City SALT LAKE CITY
Zip Code 84132

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Dataset Information

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.

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