M. J. Kim, Inc

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

Legal business name

M. J. KIM, INC

Practice address

340 Ecorse Rd
Ypsilanti, MI 48198-5734

Phone

(734) 482-0822

Fax

(734) 482-0851

NPI assigned

Nov 17, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Nasir M Khan

Title

President

Phone

(734) 482-0822

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770657181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 ECORSE RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481985734",
            "telephone_number": "734-482-0822",
            "fax_number": "734-482-0851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 ECORSE RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481985734",
            "telephone_number": "734-482-0822",
            "fax_number": "734-482-0851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. J. KIM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "NASIR",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-482-0822",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles R Lyon, D.O.
• Jessica Rae Lyon
• Robert C Lyons, M.D.
• Leslie Carolyn Lysaght, APRN, NP
• M & M Mind and Body Therapy
• Marilyn Maa
• Sukhminder Singh Maan, MD
• Lynn Rebekah Maas, CCC-SLP
• Kelly Megan Macarthur, D.D.S.
• Philip Stafford Romine Macbride, PA-C

• Comprehensive Outpatient Rehabilitation Facility (CORF) in Ypsilanti, MI
• Providers in Ypsilanti, MI by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.