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NPI Code Detail

MEDICARE: COLIN KIM

MEDICARE: COLIN 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
1207W00000XOphthalmology Physician125.086221IL

General Provider Information

NPI Number : 1972361343
Entity Type Code : Individual
Provider Name (Legal Business Name) : COLIN KIM
Provider Business Mailing Address
First Line : 816 NW 11TH ST APT 807
Second Line :
City : MIAMI
State : FL
Zip : 33136-3121
Country : US
Telephone Number : 414-530-2227
Fax Number :
Provider Business Practice Location Address
First Line : 1740 W TAYLOR ST
Second Line :
City : CHICAGO
State : IL
Zip : 60612-7232
Country : US
Telephone Number : 866-600-2273
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2024
Last Update Date : 05/21/2026

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Directions to “ COLIN KIM ” Practice Location

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