MEDICARE: DR. AMY K KIM M.D.

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	207R00000X	Internal Medicine Physician	142298	NC
2	207RG0100X	Gastroenterology Physician	D78043	MD

General Provider Information

NPI Number	:	1427231216
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMY K KIM M.D.

Provider Business Mailing Address
First Line	:	9910 FRANKLIN SQUARE DR STE 2110
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21236-4902
Country	:	US
Telephone Number	:	410-933-6423
Fax Number	:

Provider Business Practice Location Address
First Line	:	720 RUTLAND AVE STE 918
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21205-2109
Country	:	US
Telephone Number	:	410-614-3530
Fax Number	:	410-955-9677

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

Provider Enumeration Date	:	12/14/2007
Last Update Date	:	11/13/2019

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Directions to “ DR. AMY K KIM M.D.” Practice Location

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