Kimberly Ann Kim, is a
Student In An Organized Health Care Education/training Program based in Minneapolis, Minnesota. Kimberly Ann Kim is licensed to practice in * (Not Available) (license number ) and her current practice location is
701 25th Ave S, Minneapolis, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(612) 330-1388.
NPI number for Kimberly Ann Kim is 1669162897 and her current mailing address is 701 25th Ave S, Minneapolis, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1669162897.
Provider's Profile
| Full Name | Kimberly Ann Kim |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 701 25th Ave S, Minneapolis, Minnesota |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1669162897
- Provider Enumeration Date: 05/10/2023
- Last Update Date: 05/10/2023
Medical Identifiers
Medical identifiers for Kimberly Ann Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669162897 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Kimberly Ann Kim is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kimberly Ann Kim,
701 25th Ave S,
Minneapolis, MN 55454-1513
Ph: () - | Kimberly Ann Kim,
701 25th Ave S,
Minneapolis, MN 55454-1513
Ph: (612) 330-1388 |
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