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SEUNG SOO KIM MD
NPI 1639153182
Pathology - Anatomic Pathology & Clinical Pathology in Fort Wayne, IN

Active since November 29, 2005
11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845(260) 266-1000 Get Directions Write a Review

NPPES record last updated: August 21, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Seung Soo Kim Md NPPES

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

SEUNG SOO KIM MD (NPI 1639153182) is an individual anatomic pathology & clinical pathology provider in Fort Wayne, Indiana, licensed in Indiana (01040258A) and active in the NPI registry since November 2005. He maintains a secondary practice location in Ft Wayne.

NPPES Registry Identity

NPI1639153182
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameSEUNG SOO KIMCredential: MD
Location Address11109 PARKVIEW PLAZA DRFort Wayne, IN 46845-1701
Mailing Address2458 Lake AveFort Wayne, IN 46805-5406 · (260) 424-2195 · Fax (260) 422-0077
Phone(260) 266-1000
Sole ProprietorNo
Enumeration DateNovember 29, 2005
Last NPPES UpdateAugust 21, 2018
✔ NPI 1639153182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in IN · 01040258A
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
11109 PARKVIEW PLAZA DR, Fort Wayne, IN 46845
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Secondary Practice Location 1

Location 12200 Randallia DrFt Wayne, IN 46805-4638 · Phone (800) 899-5757

Other Identifiers 1

Medicaid100364240IN

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.

AHMAD ALHARIRI MD
Internal Medicine
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Allen County (260) 266-2020
DR. DANYELLE R ABER M.D.
Emergency Medicine
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Allen County (260) 266-1000
AMY SOUERS M.D.
Emergency Medicine
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Allen County (260) 266-1000
ANDY ALVAREZ HERRERA MD
Internal Medicine
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Allen County (260) 672-6620
CORISSA PIATKA
Pharmacist
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Allen County (260) 266-1000
MRS. CHRISTINA KAY FORD PHARMD
Pharmacist
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Allen County (260) 266-4400
SYDNEY NICHOLE RANZAU
Specialist/Technologist (Athletic Trainer)
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Allen County (260) 266-1000
HINA WAZIR MD
Internal Medicine
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Allen County (260) 672-6620

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 Seung Kim's NPI number?

The NPI number for Seung Kim is 1639153182. It was assigned to this individual provider in the NPPES registry on November 29, 2005.

Where is Seung Kim located?

Seung Kim practices at 11109 Parkview Plaza Dr, Fort Wayne, IN 46845. The listed phone number is (260) 266-1000.

What is Seung Kim's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

When was this NPI record last updated?

The NPPES record for Seung Kim was last updated on August 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.