Kim ENT, P.C.

Primary specialty

Special HospitalTaxonomy code 284300000X

License

039608 Issued in GA

Legal business name

KIM ENT, P.C.

Doing business as

Kim ENT & Facial Plastics

Practice address

3042 Oakcliff Rd
Suite 200
Doraville, GA 30340-2699

Phone

(770) 458-4255

Fax

(770) 458-4406

NPI assigned

Jan 9, 2009

Last updated

Jan 9, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kun Z Kim, M.D.NPI 1568469591

Title

Owner

Phone

(770) 458-4255

Specialties & licenses 1

Addresses

Other names 1

• Kim ENT & Facial Plastics Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kun Zoo Kim, M.D.

  • Facial Plastic Surgery Physician
  • Doraville, GA
  • NPI 1568469591
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1231459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231459200000",
    "number": "1336386598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3042 OAKCLIFF RD",
            "address_2": "SUITE 200",
            "city": "DORAVILLE",
            "state": "GA",
            "postal_code": "303402699",
            "telephone_number": "770-458-4255",
            "fax_number": "770-458-4406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3042 OAKCLIFF RD",
            "address_2": "SUITE 200",
            "city": "DORAVILLE",
            "state": "GA",
            "postal_code": "303402699",
            "telephone_number": "770-458-4255",
            "fax_number": "770-458-4406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM ENT, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-09",
        "last_updated": "2009-01-09",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "KUN",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-458-4255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "GA",
            "license": "039608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kim ENT & Facial Plastics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Independent Physical Therapy of Ga LLC
• Tangela James, LPN
• Suprabha Jois
• Carl Joyce Jr., LMT
• Kevin Washington (Steadyhands)
• Kun Zoo Kim, M.D.
• Lia Kim
• Meu Keon Kim, LAC
• Krasna Seng Kuoch, D.N., P.M.D (IP) DEM
• Yong Ku Kwon, PA

• Special Hospital in Doraville, GA
• Providers in Doraville, GA by specialty
• Special Hospital in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.