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DR. KIM'S ADULT CLINIC, PLLC
NPI 1174042485
General Practice in Bladenboro, NC

Active since September 18, 2017
8100 TWISTED HICKORY RD, BLADENBORO, NC 28320(910) 876-7301(910) 648-5650 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jun 16, 2018, Sep 20, 2017 (3 updates tracked since 2017).

About Dr. Kim's Adult Clinic, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KIM'S ADULT CLINIC, PLLC (NPI 1174042485) is a healthcare organization registered as a general practice in Bladenboro, North Carolina and active in the NPI registry since September 2017. The organization lists Jong Whan Kim, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1174042485
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameDR. KIM'S ADULT CLINIC, PLLC
Location Address8100 TWISTED HICKORY RDBladenboro, NC 28320-7010
Mailing Address8100 Twisted Hickory RdBladenboro, NC 28320-7010 · (910) 876-7301 · Fax (910) 648-5650
Phone(910) 876-7301
Fax(910) 648-5650
Organization SubpartNo
Authorized OfficialJong Whan KimOwner/provider · (910) 876-7301
Enumeration DateSeptember 18, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1174042485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in NC · 200101455
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
8100 TWISTED HICKORY RD, Bladenboro, NC 28320
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JONG W KIM MD
Internal Medicine (Geriatric Medicine)
8100 TWISTED HICKORY RD
BLADENBORO, NC 28320
Bladen County (910) 862-5500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dr. Kim's Adult Clinic, PLLC's NPI number?

The NPI number for Dr. Kim's Adult Clinic, PLLC is 1174042485. It was assigned to this organization in the NPPES registry on September 18, 2017.

Where is Dr. Kim's Adult Clinic, PLLC located?

Dr. Kim's Adult Clinic, PLLC is located at 8100 Twisted Hickory Rd, Bladenboro, NC 28320. The listed phone number is (910) 876-7301.

What is Dr. Kim's Adult Clinic, PLLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Dr. Kim's Adult Clinic, PLLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.