Active NPI
Luke Y. Kim, MD, PC
- Physical Medicine & Rehabilitation Physician
- Ann Arbor, MI
National Provider Identifier
1366621385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- LUKE Y. KIM, MD, PC
- Practice address
- 2004 Hogback Rd Ste 6
Ann Arbor, MI 48105-9738 - Phone
- (734) 434-2477
- NPI assigned
- Oct 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Luke Y Kim
- Title
- MD
- Phone
- (734) 434-2477
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary |
Addresses
Primary practice location
2004 Hogback Rd Ste 6
Ann Arbor, MI 48105-9738
Mailing address
2004 Hogback Rd Ste 6
Ann Arbor, MI 48105-9738
National Provider Directory
National Provider DirectoryLocations
2004 Hogback Rd
Ste 6
Ann Arbor, MI 48105
Phone (734) 434-2477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193356800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1587945600000",
"number": "1366621385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2004 HOGBACK RD STE 6",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481059738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2004 HOGBACK RD STE 6",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481059738",
"telephone_number": "734-434-2477"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUKE Y. KIM, MD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-26",
"last_updated": "2020-04-27",
"certification_date": "2020-04-27",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "LUKE",
"authorized_official_middle_name": "Y",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "734-434-2477",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.