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: KENNETH W KIM MD

MEDICARE: KENNETH W KIM MD
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
12081P2900XPain Medicine (Physical Medicine & Rehabilitation) PhysicianA81692CA

General Provider Information

NPI Number : 1154325777
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENNETH W KIM MD
Provider Business Mailing Address
First Line : 450 N WIGET LN
Second Line :
City : WALNUT CREEK
State : CA
Zip : 94598-2408
Country : US
Telephone Number : 925-691-9806
Fax Number : 925-691-9807
Provider Business Practice Location Address
First Line : 450 N WIGET LN
Second Line :
City : WALNUT CREEK
State : CA
Zip : 94598-2408
Country : US
Telephone Number : 925-691-9806
Fax Number : 925-691-9807
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2005
Last Update Date : 10/22/2009

Similar Medicare Providers

1275537870 — JACOB A ROSENBERG MD
Practice Location Address:
450 N WIGET LN
WALNUT CREEK, CA
94598-2408
Practice Phone: 925-691-9806
Practice Fax: 925-691-9807
1073517678 — LAWRENCE WEIL M.D
Practice Location Address:
450 N WIGET LN
WALNUT CREEK, CA
94598-2408
Practice Phone: 925-691-9806
Practice Fax: 925-691-9807
1033113642 — KASRA AMIRDELFAN MD
Practice Location Address:
450 N WIGET LN
WALNUT CREEK, CA
94598-2408
Practice Phone: 925-691-9806
Practice Fax: 925-691-9807
1922002542 — DOUGLAS GRANT MD
Practice Location Address:
450 N WIGET LN
WALNUT CREEK, CA
94598-2408
Practice Phone: 925-691-9806
Practice Fax: 925-691-9807
1003810607 — HOWARD P ROME JR. PHD
Practice Location Address:
450 N WIGET LN
WALNUT CREEK, CA
94598-2408
Practice Phone: 925-482-8111
Practice Fax: 925-482-1166
1508850843 — DR. GHULAM S. JOYO MD
Practice Location Address:
460 N WIGET LN STE B
WALNUT CREEK, CA
94598-2408
Practice Phone: 925-378-4930
Practice Fax: 925-627-3560

Directions to “ KENNETH W KIM MD” 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.