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RICHARD WOOREE KIM
NPI 1477179786
Student in an Organized Health Care Education/Training Program in Harrogate, TN

Active since June 23, 2020PECOS Enrolled
6965 CUMBERLAND GAP PKWY, HARROGATE, TN 37752(423) 869-7200 Get Directions Write a Review

NPPES record last updated: June 23, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Richard Wooree Kim NPPES

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

RICHARD WOOREE KIM (NPI 1477179786) is an individual student in an organized health care education/training program in Harrogate, Tennessee and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477179786
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameRICHARD WOOREE KIM
Location Address6965 CUMBERLAND GAP PKWYHarrogate, TN 37752-8245
Mailing Address455 W Sullivan St Apt 113Kingsport, TN 37660-3641 · (309) 712-5771
Phone(423) 869-7200
Sole ProprietorNo
Enumeration DateJune 23, 2020
NPPES CertifiedJune 23, 2020
✔ NPI 1477179786 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.

6965 CUMBERLAND GAP PKWY, Harrogate, TN 37752
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Richard Wooree 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 20

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

DR. HOWARD S TEITELBAUM D.O.
Preventive Medicine (Public Health & General Preventive Medicine)
6965 CUMBERLAND GAP PKWY
HARROGATE, TN 37752
Claiborne County (423) 869-7129
VICTORIA BENNETT
Physician Assistant
6965 CUMBERLAND GAP PKWY
HARROGATE, TN 37752
Claiborne County (423) 869-3611
MEGAN ROSE SAUVIAC MAED, LAT, ATC
Specialist/Technologist (Athletic Trainer)
6965 CUMBERLAND GAP PKWY
HARROGATE, TN 37752
Claiborne County (504) 717-9072
EMILY A OAKS PA-C
Physician Assistant
6965 CUMBERLAND GAP PKWY
HARROGATE, TN 37752
Claiborne County (423) 869-3611
CHRISTOPHER J LOYKE DO
Family Medicine
6965 CUMBERLAND GAP PKWY
HARROGATE, TN 37752
Claiborne County (423) 869-6609
KEITH ALLEN PELTIER JR. ATC LAT
Specialist/Technologist (Athletic Trainer)
6965 CUMBERLAND GAP PKWY
HARROGATE, TN 37752
Claiborne County (423) 869-6560
ABBY WINTERS
Student in an Organized Health Care Education/Training Program
6965 CUMBERLAND GAP PKWY
HARROGATE, TN 37752
Claiborne County (423) 869-3611
JOSHUA O LEATHERWOOD CRNA
Nurse Anesthetist, Certified Registered
6965 CUMBERLAND GAP PKWY
HARROGATE, TN 37752
Claiborne County (865) 309-0746

Frequently Asked Questions

What is Richard Kim's NPI number?

The NPI number assigned to this healthcare provider is 1477179786, enumerated as an "individual" on June 23, 2020.

Where is the provider located?

The provider is located at 6965 CUMBERLAND GAP PKWY HARROGATE, TN 37752 and the phone number is (423) 869-7200.

What is the provider's specialty?

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