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NPI Code Detail

MEDICARE: STEVEN DONG-WON KIM

MEDICARE: STEVEN DONG-WON KIM
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
1208100000XPhysical Medicine & Rehabilitation Physician35.152122OH
2208VP0000XPain Medicine Physician28137NV

General Provider Information

NPI Number : 1275152993
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN DONG-WON KIM
Provider Business Mailing Address
First Line : 1776 WOODSTEAD CT STE 208
Second Line :
City : THE WOODLANDS
State : TX
Zip : 77380-1480
Country : US
Telephone Number : 281-724-3050
Fax Number : 512-628-3314
Provider Business Practice Location Address
First Line : 33355 HEALTH CAMPUS BLVD
Second Line :
City : AVON
State : OH
Zip : 44011-1399
Country : US
Telephone Number : 440-934-0489
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2020
Last Update Date : 12/11/2025

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Directions to “ STEVEN DONG-WON KIM ” Practice Location

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