Charles J Kim
Anesthesiologist
115 Cass Ave
Woonsocket
, Rhode Island 02895-4705
Charles J Kim
Anesthesiologist
115 Cass Ave
Woonsocket
, Rhode Island 02895-4705
(401) 333-6608
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About
Features
Specialties
- Anesthesiologist
Languages spoken
- English
Location
First Address
- Charles J Kim
- 1 Abbott Valley View Dr
- Cumberland, RI
- Zip : 02864-4103
- Phone : (401) 333-6608
Second Address
- Charles J Kim
- 115 Cass Ave
- Woonsocket, RI
- Zip : 02895-4705
- Fax : (401) 767-1606
- Phone : (401) 769-4100
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207L00000X | Anesthesiologist | MD04437 | RI |
National Provider Identifier
| NPI | 1003993072 |
|---|---|
| Provider Name | Charles J Kim |
| First Address | Cumberland, RI 02864-4103 |
| Second Address | Woonsocket, RI 02895-4705 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/11/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| CK00204 | (05) | RI |
| D87106 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.