Mrs Sun Mi Lee Kim, is a
Behavior Analyst based in Holmdel, New Jersey. Mrs Sun Mi Lee Kim is licensed to practice in New Jersey (license number 11210520) and her current practice location is
14 Deercrest Dr, Holmdel, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(732) 232-1023.
NPI number for Mrs Sun Mi Lee Kim is 1720233992 and her current mailing address is 14 Deercrest Dr, Holmdel, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1720233992.
Healthcare Provider's Profile
Full Name | Mrs Sun Mi Lee Kim |
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Gender | Female |
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Speciality | Behavior Analyst |
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Location | 14 Deercrest Dr, Holmdel, New Jersey |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1720233992
- Provider Enumeration Date: 12/01/2008
- Last Update Date: 04/04/2012
Medical Identifiers
Medical identifiers for Mrs Sun Mi Lee Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720233992 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | SL009320 (Pennsylvania) | Secondary |
103K00000X | Behavior Analyst | 11210520 (New Jersey) | 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. Mrs Sun Mi Lee 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 |
Mrs Sun Mi Lee Kim, 14 Deercrest Dr, Holmdel, NJ 07733-1912 Ph: (732) 232-1023 | Mrs Sun Mi Lee Kim, 14 Deercrest Dr, Holmdel, NJ 07733-1912 Ph: (732) 232-1023 |
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