Mr Andrew Alexander Kim Jr, is a
Student In An Organized Health Care Education/training Program based in Miami Shores, Florida. Mr Andrew Alexander Kim Jr is licensed to practice in Georgia (license number RN291818) and his current practice location is
11300 Ne 2nd Ave, Miami Shores, Florida. He can be reached at his office (for appointments etc.) via phone at
(305) 899-3230.
NPI number for Mr Andrew Alexander Kim Jr is 1003516659 and his current mailing address is 6370 Griffin Rd Unit 318a, Davie, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003516659.
Provider's Profile
| Full Name | Mr Andrew Alexander Kim Jr |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 11300 Ne 2nd Ave, Miami Shores, Florida |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1003516659
- Provider Enumeration Date: 03/02/2023
- Last Update Date: 03/04/2023
Medical Identifiers
Medical identifiers for Mr Andrew Alexander Kim Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003516659 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163WC0200X | Registered Nurse - Critical Care Medicine | RN291818 (Georgia) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | RN291818 (Georgia) | 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. Mr Andrew Alexander Kim Jr 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 |
|---|
Mr Andrew Alexander Kim Jr,
6370 Griffin Rd Unit 318a,
Davie, FL 33314-4424
Ph: (478) 321-7969 | Mr Andrew Alexander Kim Jr,
11300 Ne 2nd Ave,
Miami Shores, FL 33161-6695
Ph: (305) 899-3230 |
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