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Ellen Kim

Family Doctor - Adult Medicine

4253 Montgomery Blvd Ne Suite 100
Albuquerque , New Mexico 87109-1106

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Ellen Kim

Family Doctor - Adult Medicine

4253 Montgomery Blvd Ne Suite 100
Albuquerque , New Mexico 87109-1106

(505) 506-1984

Write a Review Save Call

Ellen Kim

Family Doctor - Adult Medicine

4253 Montgomery Blvd Ne Suite 100
Albuquerque , New Mexico 87109-1106

(505) 506-1984 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Family Doctor - Adult Medicine

Languages spoken

  • English

Location

4253 Montgomery Blvd Ne Suite 100 Albuquerque , New Mexico 87109-1106

First Address

  • Ellen Kim
  • 3015 10th St Nw
  • Albuquerque, NM
  • Zip : 87107-1112
  • Phone : (505) 506-1984

Second Address

  • Ellen Kim
  • 4253 Montgomery Blvd Ne Suite 100
  • Albuquerque, NM
  • Zip : 87109-1106
  • Fax : (505) 898-1518
  • Phone : (505) 898-2468

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FAQs


Where did Ellen Kim attend graduate school?

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Where did Ellen Kim do her residency?

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Where did Ellen Kim do her fellowship?

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Is Ellen Kim board certified?

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What type of doctor is Ellen Kim

Family Doctor - Adult Medicine

In what state does Ellen Kim practice in?

New Mexico

Where is Ellen Kim ’s practice located?

4253 Montgomery Blvd Ne Suite 100 , Albuquerque, New Mexico, 87109-1106

What is Ellen Kim ’s gender?

Female

Is Ellen Kim a sole practitioner?

No

Is Ellen Kim accepting new patients?

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What languages does Ellen Kim speak?

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Does Ellen Kim accept insurance?

Yes, Ellen Kim accepts insurance

Does Ellen Kim offers telemedicine?

Ellen Kim has not indicated if she offers telemedicine

What is Ellen Kim ’s professional license number?

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What is Ellen Kim ’s NPI number?

1275600637

Does Ellen Kim have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 207QA0505X Family Doctor - Adult Medicine 97-289 NM

National Provider Identifier

NPI 1275600637
Provider Name Ellen Kim
First Address Albuquerque, NM 87107-1112
Second Address Albuquerque, NM 87109-1106
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 29/11/2006
Last Update Date 23/12/2018

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
G55811 (02) CA

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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