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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

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 added: June 23, 2026. Verified against the NPPES registry weekly; last sync: August 30, 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
Open in Google Maps ↗

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.

EDEN KIMIAGAROV DO
Student in an Organized Health Care Education/Training Program
5515 PEACH ST
ERIE, PA 16509
Erie County (814) 868-8217
NATALIE A KUJAN LDN
Dietitian, Registered
5515 PEACH ST
ERIE, PA 16509
Erie County (814) 864-4031
DR. GARRETT P JAGEMAN PHARMD
Pharmacist
5515 PEACH ST
ERIE, PA 16509
Erie County (814) 864-4031
ERIN CARLSON PHARMD
Pharmacist
5515 PEACH ST
ERIE, PA 16509
Erie County (814) 868-8267
NICHOLAS PAUL PANICO DO
Student in an Organized Health Care Education/Training Program
5515 PEACH ST
ERIE, PA 16509
Erie County (814) 864-4031
DALTON WADE SUMMERHILL
Student in an Organized Health Care Education/Training Program
5515 PEACH ST
ERIE, PA 16509
Erie County (814) 864-4031
ALYSE CHRISTINE HAGGERTY RN
Registered Nurse (Psychiatric/Mental Health, Adult)
5515 PEACH ST
ERIE, PA 16509
Erie County (814) 864-4031
JOSEPH AARON HOLMES D.O.
Psychiatry & Neurology (Psychiatry)
5515 PEACH ST
ERIE, PA 16509
Erie County (181) 486-8820

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 Gene Kim's NPI number?

The NPI number for Gene Kim is 1205762614. It was assigned to this individual provider in the NPPES registry on June 23, 2026.

Where is Gene Kim located?

Gene Kim practices at 5515 Peach St, Erie, PA 16509. The listed phone number is (814) 868-4031.

What is Gene Kim's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Gene Kim was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.