Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 0101236255 | VA |
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 0101236255 | VA |
NPI | 1891736484 |
---|---|
Provider Name | Dr. Christopher Kisok Kim |
First Address | North Chesterfield, VA 23225-4067 |
Second Address | North Chesterfield, VA 23225-4067 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2006 |
Last Update Date | 02/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
010066298 | (05) | VA |
137872 | ANTHEM HEALTHKEEPERS (01) | VA |
1891736484 | (05) | VA |
2138280 | UNITED HEALTHCARE MAMSI (01) | VA |
242742 | SOUTHERN HEALTH (01) | VA |
49648 | SH CARENET (01) | VA |
540885859 | C&O EMPLOYEES HEALTHCARE (01) | VA |
540885859 | CIGNA (01) | VA |
540885859 | COMPMANAGEMENT (01) | VA |
540885859 | CORVEL (01) | VA |
540885859 | FIRST HEALTH/CCN (01) | VA |
540885859 | FOCUS (01) | VA |
540885859 | VIRGINIA HEALTH NETWORK (01) | VA |
7010538 | AETNA HMO (01) | VA |
78569 | OPTIMA HEALTH (01) | VA |
902428 | UNITED HEALTHCARE (01) | VA |
E86120 | (02) | VA |
P00247549 | RAILROAD MEDICARE (01) | VA |