David Kim
Surgeon Plastic and Reconstructive Surgery
3401 N Broad St # 3ppc388
Philadelphia
, Pennsylvania 19140
David Kim
Surgeon Plastic and Reconstructive Surgery
3401 N Broad St # 3ppc388
Philadelphia
, Pennsylvania 19140
(215) 707-7032
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About
Features
Specialties
- Surgeon
- Plastic and Reconstructive Surgery
Languages spoken
- English
Location
First Address
- David Kim
- 3401 N Broad St # 3ppc388
- Philadelphia, PA
- Zip : 19140-5103
- Phone : (215) 707-7032
Second Address
- David Kim
- 3401 N Broad St # 3ppc388
- Philadelphia, PA
- Zip : 19140
- Phone : (215) 707-7032
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | LP03325 | RI |
| N | 208600000X | Surgeon | LP03325 | RI |
| Y | 2086S0122X | Plastic and Reconstructive Surgery | MT221196 | PA |
National Provider Identifier
| NPI | 1235517996 |
|---|---|
| Provider Name | David Kim |
| First Address | Philadelphia, PA 19140-5103 |
| Second Address | Philadelphia, PA 19140 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/05/2015 |
| Last Update Date | 25/06/2020 |
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.