Kisung Kim
BM | Pediatric Adolescent Medicine | Male
Kisung Kim, BM is a Red Bluff, California based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Kisung Kim is
2450 Sister Mary Columba Dr, Red Bluff, California - 96080-4356. He can be contacted on phone at
530-527-0414 and fax number 530-527-3720.
Kisung Kim is a sole proprietor of his business.
NPI number (Unique professional ID) for Kisung Kim is
1073939815 which was assigned by NPPES on 17 Mar, 2014 and it was last updated on 03 Apr, 2019.
Kisung Kim license number is
A141207 for Pediatrics Adolescent Medicine (2080A0000X) in California.
Kisung Kim specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Kisung Kim basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
|---|
| Provider Name : | Kisung Kim |
|---|
| Credential : | BM |
|---|
| Gender : | Male |
|---|
Business Address:
Kisung Kim address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2450 Sister Mary Columba Dr
Red Bluff, CA, 96080-4356
United States |
|---|
| Phone Number : | 530-527-0414 |
|---|
| Fax Number : | 530-527-3720 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1073939815 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 17 Mar, 2014 |
|---|
| Last Updated On : | 03 Apr, 2019 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kisung Kim are as mentioned. Primary taxonomy code for Kisung Kim, BM is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | A141207 | CA |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2450 Sister Mary Columba Dr
Red Bluff, CA, 96080-4356
United States |
|---|
Business Location:
Patients can refer following map for directions to
Kisung Kim practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.