MEDICARE: DR. WARREN WON KIM MD, MPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	282N00000X	General Acute Care Hospital	1336478163	OH

General Provider Information

NPI Number	:	1114865110
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WARREN WON KIM MD, MPH

Provider Business Mailing Address
First Line	:	3114 NASHVILLE AVE
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70125-4932
Country	:	US
Telephone Number	:	571-319-6933
Fax Number	:

Provider Business Practice Location Address
First Line	:	4777 E GALBRAITH RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45236-2725
Country	:	US
Telephone Number	:	513-686-3000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2026
Last Update Date	:	03/23/2026

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