Kyung Ho Kim
Internist Nephrologist
Dept Of Medicine Stony Brook University Health Sciences Center Level 16 Rm 020
Stony Brook
, New York 11794-0001
Kyung Ho Kim
Internist Nephrologist
Dept Of Medicine Stony Brook University Health Sciences Center Level 16 Rm 020
Stony Brook
, New York 11794-0001
(860) 972-7040
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About
Features
Specialties
- Internist
- Nephrologist
Languages spoken
- English
Location
First Address
- Kyung Ho Kim
- 2800 Main St
- Bridgeport, CT
- Zip : 06606-4201
- Fax : (860) 972-7040
- Phone : (475) 210-5847
Second Address
- Kyung Ho Kim
- Dept Of Medicine Stony Brook University Health Sciences Center Level 16 Rm 020
- Stony Brook, NY
- Zip : 11794-0001
- Phone : (646) 522-9816
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207R00000X | Internist | 69785 | CT |
| Y | 111NI0900X | Internist | 69785 | CT |
| N | 207RN0300X | Nephrologist | 235372 | NY |
| N | 207RN0300X | Nephrologist | 69785 | CT |
National Provider Identifier
| NPI | 1063687929 |
|---|---|
| Provider Name | Kyung Ho Kim |
| First Address | Bridgeport, CT 06606-4201 |
| Second Address | Stony Brook, NY 11794-0001 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/04/2008 |
| Last Update Date | 30/11/2021 |
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.