Sooyun A Kim, PHARMD
Individual provider Active NPI Pharmacist · Bath, PA
NPI 1326417205 · NPPES record last updated Sep 8, 2016
Key facts
- NPI
- 1326417205
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP449339 (PA)
- Practice address
- 7275 Park Dr
Bath, PA 18014-8854 - Phone
- (610) 837-7225
- NPI assigned
- Sep 21, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP449339 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Keystone Med LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP449339 | PA | Yes |
Addresses
Primary practice location
7275 Park Dr
Bath, PA 18014-8854
Mailing address
7275 Park Drive
Bath, PA 18014-8854
Phone (610) 837-7138
Other providers in Bath, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.