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GENE WOO KIM DO
NPI 1205762614
Student in an Organized Health Care Education/Training Program in Erie, PA

Active since June 23, 2026

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Gene Woo Kim Do NPPES

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

GENE WOO KIM DO (NPI 1205762614) is an individual student in an organized health care education/training program in Erie, Pennsylvania, licensed in Pennsylvania (OT025737) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1205762614
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameGENE WOO KIMCredential: DO
Location Address5515 PEACH STErie, PA 16509-2695
Mailing Address5515 Peach StErie, PA 16509-2603 · (814) 868-4031
Phone(814) 868-4031
Sole ProprietorYes
Enumeration DateJune 23, 2026
NPPES CertifiedJune 22, 2026
✔ NPI 1205762614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in PA · OT025737
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

5515 PEACH ST, Erie, PA 16509
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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

CHRISTOPHER JOHN CARBO DO
Family Medicine (Addiction Medicine)
5515 PEACH ST
ERIE, PA 16509
Erie County (814) 868-8252
DENNIS E AGOSTINI DO
Family Medicine
5515 PEACH ST
ERIE, PA 16509
Erie County (814) 868-8252
RUSSELL E REICHTER M.D.
Specialist
5515 PEACH ST
ERIE, PA 16509
Erie County (814) 868-8252
ELISEO M. ROQUIZ MD
Anesthesiology
5515 PEACH ST
ERIE, PA 16509
Erie County (814) 454-8885
JONATHAN S PHILLIPS DO
Internal Medicine
5515 PEACH ST
ERIE, PA 16509
Erie County (814) 868-8252
MICHELE M MACKENZIE CRNA
Nurse Anesthetist, Certified Registered
5515 PEACH ST
ERIE, PA 16509
Erie County (814) 864-4031
MILLCREEK COMMUNITY HOSPITAL
Nursing Facility/Intermediate Care Facility
5515 PEACH ST
ERIE, PA 16509
Erie County (814) 868-8227
MEDICAL ASSOCIATES OF ERIE
Preventive Medicine (Sports Medicine)
5515 PEACH ST
ERIE, PA 16509
Erie County (814) 864-4031
DR. ROGER WARREN ROGERS D.O.
Orthopaedic Surgery
5515 PEACH ST
ERIE, PA 16509
Erie County (814) 864-4031
MRS. JANET L KUNEMAN LPN
Licensed Practical Nurse
5515 PEACH ST
ERIE, PA 16509
Erie County (814) 864-4031
DANIEL JOHN LUKES D.O.
Orthopaedic Surgery
5515 PEACH ST
ERIE, PA 16509
Erie County (814) 868-8217
DR. EDWARD ARTHUR BLOUNTS JR. D.O.
Internal Medicine
5515 PEACH ST
ERIE, PA 16509
Erie County (484) 358-1459
JOSEPH AARON HOLMES D.O.
Psychiatry & Neurology (Psychiatry)
5515 PEACH ST
ERIE, PA 16509
Erie County (181) 486-8820
DR. JIM HWANG DO
Psychiatry & Neurology (Psychiatry)
5515 PEACH ST
ERIE, PA 16509
Erie County (814) 864-4031
DR. TIMOTHY GEORGE VOLK DO
Orthopaedic Surgery
5515 PEACH ST
ERIE, PA 16509
Erie County (814) 864-4031
MS. BO XIAO D.O.
Family Medicine
5515 PEACH ST, MILLCREEK COMMUNITY HOSPITAL, DEPT OF MEDICAL EDUCATION
ERIE, PA 16509
Erie County (814) 868-8206
TIM DOMMERMUTH R.PH.
Pharmacist
5515 PEACH ST
ERIE, PA 16509
Erie County (814) 868-7733
DR. ERIN A BROWN PHARM.D
Pharmacist
5515 PEACH ST
ERIE, PA 16509
Erie County (814) 868-7744
DR. ROGER L BRUMAGIN PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
5515 PEACH ST
ERIE, PA 16509
Erie County (814) 868-8266
ANSLEY FALCON
Internal Medicine
5515 PEACH ST
ERIE, PA 16509
Erie County (814) 864-4031

Frequently Asked Questions

What is Gene Kim's NPI number?

The NPI number assigned to this healthcare provider is 1205762614, enumerated as an "individual" on June 23, 2026.

Where is the provider located?

The provider is located at 5515 PEACH ST ERIE, PA 16509 and the phone number is (814) 868-4031.

What is the provider's specialty?

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.