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General NPI Number Information
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NPI Number | 1083666564
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Entity Type | Individual
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Provider Name | VIVIAN TERESA KIM MD
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Gender | Female
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 2900 W OKLAHOMA AVE
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City | MILWAUKEE
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State | WI
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Zip | 53215-4330
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Country | US
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Telephone | 650-742-2000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7793
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City | SAN FRANCISCO
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State | CA
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Zip | 94120-7793
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Country | US
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Telephone | 503-372-2740
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Fax | 503-372-2754
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | G78573
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 68903
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD54457
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License Number State | IA
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