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NPI Code Detail

MEDICARE: DR. JOSEPH HILL KIM D.O.

MEDICARE: DR. JOSEPH HILL KIM D.O.
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
1207Q00000XFamily Medicine PhysicianC20007390DE

General Provider Information

NPI Number : 1114965167
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSEPH HILL KIM D.O.
Provider Business Mailing Address
First Line : 30549 SUSSEX HWY
Second Line :
City : LAUREL
State : DE
Zip : 19956-3891
Country : US
Telephone Number : 302-875-2127
Fax Number : 302-875-5091
Provider Business Practice Location Address
First Line : 30549 SUSSEX HWY
Second Line :
City : LAUREL
State : DE
Zip : 19956-3891
Country : US
Telephone Number : 302-875-2127
Fax Number : 302-875-5091
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2006
Last Update Date : 03/17/2015

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