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NPI Code Detail

MEDICARE: DR. INKYO KIM M.D.

MEDICARE:  DR. INKYO  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
1207R00000XInternal Medicine PhysicianMD050752LPA

General Provider Information

NPI Number : 1821069717
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. INKYO KIM M.D.
Provider Business Mailing Address
First Line : 2506 N BROAD ST
Second Line : SUITE 202
City : COLMAR
State : PA
Zip : 18915-9439
Country : US
Telephone Number : 215-997-2101
Fax Number : 215-997-2102
Provider Business Practice Location Address
First Line : 6705 OLD YORK RD
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19126-2841
Country : US
Telephone Number : 215-224-2000
Fax Number : 215-224-8651
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2006
Last Update Date : 12/11/2015

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Directions to “ DR. INKYO KIM M.D.” Practice Location

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