Kenneth W Kim
Pain Medicine
450 N Wiget Ln
Walnut Creek
, California 94598-2408
Kenneth W Kim
Pain Medicine
450 N Wiget Ln
Walnut Creek
, California 94598-2408
(925) 691-9807
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About
Features
Specialties
- Pain Medicine
Languages spoken
- English
Location
First Address
- Kenneth W Kim
- 450 N Wiget Ln
- Walnut Creek, CA
- Zip : 94598-2408
- Fax : (925) 691-9807
- Phone : (925) 691-9806
Second Address
- Kenneth W Kim
- 450 N Wiget Ln
- Walnut Creek, CA
- Zip : 94598-2408
- Fax : (925) 691-9807
- Phone : (925) 691-9806
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2081P2900X | Pain Medicine | A81692 | CA |
National Provider Identifier
| NPI | 1154325777 |
|---|---|
| Provider Name | Kenneth W Kim |
| First Address | Walnut Creek, CA 94598-2408 |
| Second Address | Walnut Creek, CA 94598-2408 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/06/2005 |
| Last Update Date | 22/10/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| I24900 | (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.