Kyounghee Kim
Pediatrician Pediatric Nephrologist
Crhp-711 Troy-Schenectady Rd Suite 101
Latham
, New York 12110
Kyounghee Kim
Pediatrician Pediatric Nephrologist
Crhp-711 Troy-Schenectady Rd Suite 101
Latham
, New York 12110
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About
Features
Specialties
- Pediatrician
- Pediatric Nephrologist
Languages spoken
- English
Location
First Address
- Kyounghee Kim
- 711 Troy Schenectady Rd Suite 201
- Latham, NY
- Zip : 12110-2442
- Phone :
Second Address
- Kyounghee Kim
- Crhp-711 Troy-Schenectady Rd Suite 101
- Latham, NY
- Zip : 12110
- Phone : (518) 783-3110
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | 119175 | NY |
| N | 2080P0210X | Pediatric Nephrologist | 119175 | NY |
National Provider Identifier
| NPI | 1467536227 |
|---|---|
| Provider Name | Kyounghee Kim |
| First Address | Latham, NY 12110-2442 |
| Second Address | Latham, NY 12110 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/10/2006 |
| Last Update Date | 07/12/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 01160452 | (05) | NY |
| C59074 | (02) | NY |
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.