Dr Sunyoung Oh Kim, MD is a medicare enrolled "Dermatology" physician in Fort Campbell, Kentucky. Her current practice location is
650 Joel Dr, Fort Campbell, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(270) 798-8400.
Dr Sunyoung Oh Kim is licensed to practice in Nebraska (license number 32851) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1750840377.
Physician's Profile
Full Name | Dr Sunyoung Oh Kim |
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Gender | Female |
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Speciality | Dermatology |
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Location | 650 Joel Dr, Fort Campbell, Kentucky |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1750840377
- Provider Enumeration Date: 03/13/2019
- Last Update Date: 08/21/2024
Medicare PECOS Information:
- PECOS PAC ID: 9830517937
- Enrollment ID: I20200921003059
Medical Identifiers
Medical identifiers for Dr Sunyoung Oh Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750840377 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 32851 (Nebraska) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
207N00000X | Dermatology | 32851 (Nebraska) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Sunyoung Oh Kim is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Sunyoung Oh Kim, MD 650 Joel Dr, Fort Campbell, KY 42223-5318 Ph: (270) 798-8400 | Dr Sunyoung Oh Kim, MD 650 Joel Dr, Fort Campbell, KY 42223-5318 Ph: (270) 798-8400 |
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