KEVIN KIM - NPI 1427639244 - Student in an Organized Health Care Education/Training Program in Baltimore, MD

Q: What is Kevin Kim's NPI number?

The NPI number for Kevin Kim is 1427639244. It was assigned to this individual provider in the NPPES registry on April 15, 2021.

Q: What is Kevin Kim's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kevin Kim was last updated on March 29, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Kevin Kim NPPES

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

KEVIN KIM (NPI 1427639244) is an individual student in an organized health care education/training program in Baltimore, Maryland and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427639244

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameKEVIN KIM

Location Address22 S GREENE ST STE S-12DBaltimore, MD 21201-1544

Mailing Address655 W Baltimore StBaltimore, MD 21201-1509

Phone(410) 328-8621

Sole ProprietorYes

Enumeration DateApril 15, 2021

Last NPPES UpdateMarch 29, 2022

NPPES CertifiedMarch 29, 2022

✔ NPI 1427639244 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

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.

22 S GREENE ST STE S-12D, Baltimore, MD 21201

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Other Identifiers 1

Medicaid40014856100MD

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin Kim is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 5

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

ANNIE TRANG

Student in an Organized Health Care Education/Training Program