Kenneth K Kim, MD | |
1656 Champlin Ave, Utica, NY 13502-4830 | |
(315) 624-6000 | |
Not Available |
Full Name | Kenneth K Kim |
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Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 1656 Champlin Ave, Utica, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881685832 | NPI | - | NPPES |
00543444 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 120136-1 (New York) | Primary |
Entity Name | Mvhs Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770690737 PECOS PAC ID: 2769380252 Enrollment ID: O20031222000433 |
Mailing Address | Practice Location Address |
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Kenneth K Kim, MD 1656 Champlin Ave, Utica, NY 13502-4830 Ph: () - | Kenneth K Kim, MD 1656 Champlin Ave, Utica, NY 13502-4830 Ph: (315) 624-6000 |
Jonathan David Wigderson, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1903 Sunset Ave, Utica, NY 13502 Phone: 315-624-8150 Fax: 315-797-1537 | |
Dr. Kenneth Ortega, D.O. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1903 Sunset Ave, Utica, NY 13502 Phone: 315-797-1212 Fax: 315-797-1537 | |
Dr. Margaret R Albanese, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1903 Sunset Ave, Utica, NY 13502 Phone: 315-797-1212 Fax: 315-797-1537 | |
Dr. Leroy H Cooley, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1903 Sunset Ave, Utica, NY 13502 Phone: 315-797-1212 Fax: 315-797-1537 |