MEDICARE: DR. BENJAMIN KIM M.D.

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
1	208600000X	Surgery Physician	1003810220	UT
2	2086X0206X	Surgical Oncology Physician	1003810220	UT
3	208C00000X	Colon & Rectal Surgery Physician	1003810220	UT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	45948	OTHER	UT	PEHP
2	1700075	OTHER	UT	UNITED HEALTH OF UTAH
3	QM0000033040	OTHER	UT	ALTIUS

General Provider Information

NPI Number	:	1487681102
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BENJAMIN KIM M.D.

Provider Business Mailing Address
First Line	:	1220 E 3900 S
Second Line	:	4F
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84124-1327
Country	:	US
Telephone Number	:	801-268-8223
Fax Number	:	801-268-8248

Provider Business Practice Location Address
First Line	:	1220 E 3900 S
Second Line	:	4F
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84124-1327
Country	:	US
Telephone Number	:	801-268-8223
Fax Number	:	801-268-8248

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2006
Last Update Date	:	09/11/2025

Similar Medicare Providers

1689671737 — MR. CHRIS LINDSEY PA-C
Practice Location Address:

1220 E 3900 S , # 4E
SALT LAKE CITY, UT
84124-1327

Practice Phone: 801-261-8507
Practice Fax: 801-261-8511

1336148063 — DR. RICHARD H SCHWARTZ MD
Practice Location Address:

1220 E 3900 S , STE 4-E
SALT LAKE CITY, UT
84124-1327

Practice Phone: 801-261-8507
Practice Fax: 801-261-8511

1912909714 — MR. RYAN DENNIS CHURCH FNP-C
Practice Location Address:

1220 E 3900 S STE 1F
SALT LAKE CITY, UT
84124-1327

Practice Phone: 801-262-5711
Practice Fax: 801-262-5741

1649264763 — DR. GILBERT PODOLSKY M.D.
Practice Location Address:

1220 E 3900 S , SUITE 3F
SALT LAKE CITY, UT
84124-1327

Practice Phone: 801-262-3354
Practice Fax: 801-263-2922

1639141252 — REPRODUCTIVE CARE CENTER
Practice Location Address:

1220 E 3900 S
SALT LAKE CITY, UT
84124-1327

Practice Phone: 801-268-0306
Practice Fax: 801-268-6234

1588637730 — DR. SCOTT ALBERT LECKMAN M.D.
Practice Location Address:

1220 E 3900 S , #3G
SALT LAKE CITY, UT
84124-1327

Practice Phone: 801-268-4924
Practice Fax: 801-266-8809

Directions to “ DR. BENJAMIN KIM M.D.” 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.