DAE KIM DO
NPI 1194579417
Student in an Organized Health Care Education/Training Program in Kansas City, MO
About Dae Kim Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAE KIM DO (NPI 1194579417) is an individual student in an organized health care education/training program in Kansas City, Missouri and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dae Kim Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
KANSAS CITY, MO 64108
KANSAS CITY, MO 64108
KANSAS CITY, MO 64108
KANSAS CITY, MO 64108
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 Dae Kim's NPI number?
The NPI number for Dae Kim is 1194579417. It was assigned to this individual provider in the NPPES registry on April 15, 2024.
Where is Dae Kim located?
Dae Kim practices at 2301 Holmes St, Kansas City, MO 64108. The listed phone number is (816) 404-4175.
What is Dae Kim's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Dae Kim enrolled in Medicare?
Yes. Dae Kim is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Dae Kim was last updated on April 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dae Kim, DO · NPI 1194579417
Student in an Organized Health Care Education/Training Program provider in Kansas City, Missouri. Individual provider, active in the CMS NPPES registry since April 15, 2024.
## Identity
- **NPI:** 1194579417 (Entity type: Individual)
- **Enumerated:** April 15, 2024
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 2301 HOLMES ST, Kansas City, MO 64108-2640
- **Phone:** (816) 404-4175
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 15, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1194579417) · Data from the CMS NPPES public registry.