DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: KYONGSOOK KIM NP

MEDICARE: KYONGSOOK KIM NP
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
1363LG0600XGerontology Nurse PractitionerRN962194DC
2363LG0600XGerontology Nurse PractitionerR151075MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1N54833OTHERMDCDS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3R151075OTHERMDDON

General Provider Information

NPI Number : 1033181060
Entity Type Code : Individual
Provider Name (Legal Business Name) : KYONGSOOK KIM NP
Provider Business Mailing Address
First Line : 18500 NEW HAMPSHIRE AVE
Second Line :
City : ASHTON
State : MD
Zip : 20861-9788
Country : US
Telephone Number : 240-330-0999
Fax Number :
Provider Business Practice Location Address
First Line : 1380 SOUTHERN AVE SE
Second Line :
City : WASHINGTON
State : DC
Zip : 20032-4623
Country : US
Telephone Number : 202-279-5880
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2006
Last Update Date : 04/08/2023

Similar Medicare Providers

1497748008 — KER-SHI WANG M.D., PH.D.
Practice Location Address:
1310 SOUTHERN AVE SE
WASHINGTON, DC
20032-4623
Practice Phone: 202-574-6851
Practice Fax: 202-279-7370
1477536811 — DR. ZELEKE DESSE KASSAHUN MD
Practice Location Address:
1310 SOUTHERN AVE SE
WASHINGTON, DC
20032-4623
Practice Phone: 202-574-6000
Practice Fax:
1154385086 — DAVID CLARK JR. M.D.
Practice Location Address:
1310 SOUTHERN AVE SE
WASHINGTON, DC
20032-4623
Practice Phone: 202-574-6000
Practice Fax:
1891722856 — ANDREAS KOTZUR M.D.
Practice Location Address:
1310 SOUTHERN AVE SE
WASHINGTON, DC
20032-4623
Practice Phone: 202-574-6851
Practice Fax: 202-279-7370
1346270758 — LAURA G FOX MD
Practice Location Address:
1310 SOUTHERN AVE SE
WASHINGTON, DC
20032-4623
Practice Phone: 202-741-3911
Practice Fax:
1598784969 — RICHARD LAPIN MD
Practice Location Address:
1310 SOUTHERN AVE SE
WASHINGTON, DC
20032-4623
Practice Phone: 202-741-2302
Practice Fax:

Directions to “ KYONGSOOK KIM NP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.