Soo Yeon Kim
Pain Medicine
600 North Wolf Street Phipps 160
Baltimore
, Maryland 21287-0005
Soo Yeon Kim
Pain Medicine
600 North Wolf Street Phipps 160
Baltimore
, Maryland 21287-0005
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About
Features
Specialties
- Pain Medicine
Languages spoken
- English
Location
First Address
- Soo Yeon Kim
- 9910 Franklin Square Dr Ste 2110
- Baltimore, MD
- Zip : 21236-4902
- Phone :
Second Address
- Soo Yeon Kim
- 600 North Wolf Street Phipps 160
- Baltimore, MD
- Zip : 21287-0005
- Fax : (410) 502-2419
- Phone : (410) 955-0703
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2081P2900X | Pain Medicine | 265871 | NY |
| Y | 2081P2900X | Pain Medicine | D87164 | MD |
National Provider Identifier
| NPI | 1073868899 |
|---|---|
| Provider Name | Soo Yeon Kim |
| First Address | Baltimore, MD 21236-4902 |
| Second Address | Baltimore, MD 21287-0005 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/07/2012 |
| Last Update Date | 10/12/2020 |
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.