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NPI Code Detail

MEDICARE: DR. JOHN S KIM MD

MEDICARE: DR. JOHN S 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
1207W00000XOphthalmology Physician01061571AIN

General Provider Information

NPI Number : 1811928245
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN S KIM MD
Provider Business Mailing Address
First Line : 341 COOL SPRINGS BLVD.
Second Line : STE. 400
City : FRANKLIN
State : TN
Zip : 37067
Country : US
Telephone Number : 423-508-7337
Fax Number : 423-508-7338
Provider Business Practice Location Address
First Line : 7268 JARNIGAN RD
Second Line : SUITE 200
City : CHATTANOOGA
State : TN
Zip : 37421-3097
Country : US
Telephone Number : 423-508-7337
Fax Number : 423-508-7338
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2006
Last Update Date : 02/12/2023

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