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Kyung Ho Kim

Internist Nephrologist

Dept Of Medicine Stony Brook University Health Sciences Center Level 16 Rm 020
Stony Brook , New York 11794-0001

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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

Write a Review Save Call

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 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Internist
  • Nephrologist

Languages spoken

  • English

Location

Dept Of Medicine Stony Brook University Health Sciences Center Level 16 Rm 020 Stony Brook , New York 11794-0001

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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FAQs


Where did Kyung Ho Kim attend graduate school?

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Where did Kyung Ho Kim do his residency?

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Where did Kyung Ho Kim do his fellowship?

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Is Kyung Ho Kim board certified?

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What type of doctor is Kyung Ho Kim

Internist

In what state does Kyung Ho Kim practice in?

New York

Where is Kyung Ho Kim ’s practice located?

Dept Of Medicine Stony Brook University Health Sciences Center Level 16 Rm 020 , Stony Brook, New York, 11794-0001

What is Kyung Ho Kim ’s gender?

Male

Is Kyung Ho Kim a sole practitioner?

No

Is Kyung Ho Kim accepting new patients?

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What languages does Kyung Ho Kim speak?

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Does Kyung Ho Kim accept insurance?

Yes, Kyung Ho Kim accepts insurance

Does Kyung Ho Kim offers telemedicine?

Kyung Ho Kim has not indicated if he offers telemedicine

What is Kyung Ho Kim ’s professional license number?

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What is Kyung Ho Kim ’s NPI number?

1063687929

Does Kyung Ho Kim have any license restrictions?

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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)

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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