Dr Casey Kim PLLC

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

43029 Issued in TN

Legal business name

DR CASEY KIM PLLC

Practice address

7902 Eagle Mere Rd
Chattanooga, TN 37421-7315

Phone

(423) 619-4894

NPI assigned

May 26, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Kyongchol Kim, MD

Title

Physician

Phone

(423) 619-4894

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1274832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306972800000",
    "number": "1619296936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7902 EAGLE MERE RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374217315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7902 EAGLE MERE RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374217315",
            "telephone_number": "423-619-4894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR CASEY KIM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-26",
        "last_updated": "2011-06-02",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "KYONGCHOL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "423-619-4894",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TN",
            "license": "43029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nursing Facility/Intermediate Care Facility in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Nursing Facility/Intermediate Care Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2011; 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.