Paula J Kim
Family Doctor - Geriatric Medicine
27070 Hoover Rd
Warren
, Michigan 48093-4548
Paula J Kim
Family Doctor - Geriatric Medicine
27070 Hoover Rd
Warren
, Michigan 48093-4548
(586) 447-4180
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About
Features
Specialties
- Family Doctor - Geriatric Medicine
Languages spoken
- English
Location
First Address
- Paula J Kim
- Po Box 77000
- Detroit, MI
- Zip : 48277-2000
- Fax : (586) 447-4180
- Phone : (586) 447-4171
Second Address
- Paula J Kim
- 27070 Hoover Rd
- Warren, MI
- Zip : 48093-4548
- Fax : (586) 498-4306
- Phone : (586) 498-4300
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QG0300X | Family Doctor - Geriatric Medicine | 4301033397 | MI |
National Provider Identifier
| NPI | 1255332599 |
|---|---|
| Provider Name | Paula J Kim |
| First Address | Detroit, MI 48277-2000 |
| Second Address | Warren, MI 48093-4548 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/08/2005 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1930400 | (05) | MI |
| B43246 | (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.