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NPI Code Detail

MEDICARE: JOON B KIM MD

MEDICARE: JOON B 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
1208600000XSurgery Physician112897GA
2208C00000XColon & Rectal Surgery Physician112897GA

General Provider Information

NPI Number : 1922623081
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOON B KIM MD
Provider Business Mailing Address
First Line : 1200 S CEDAR CREST BLVD
Second Line :
City : ALLENTOWN
State : PA
Zip : 18103-6202
Country : US
Telephone Number : 610-402-7868
Fax Number :
Provider Business Practice Location Address
First Line : 1200 S CEDAR CREST BLVD
Second Line :
City : ALLENTOWN
State : PA
Zip : 18103-6202
Country : US
Telephone Number : 610-402-7868
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2020
Last Update Date : 05/31/2026

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Directions to “ JOON B KIM MD” Practice Location

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