Hal L Kime, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

1603 Issued in AZ

Practice address

26434 S Hogan Dr
Sun Lakes, AZ 85248-6913

Phone

(480) 883-0699

NPI assigned

Jan 23, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

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

{
    "created_epoch": "1264204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264204800000",
    "number": "1831420397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26434 S HOGAN DR",
            "city": "SUN LAKES",
            "state": "AZ",
            "postal_code": "852486913",
            "telephone_number": "480-883-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26434 S HOGAN DR",
            "city": "SUN LAKES",
            "state": "AZ",
            "postal_code": "852486913",
            "telephone_number": "480-883-0699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIME",
        "first_name": "HAL",
        "middle_name": "L",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-23",
        "last_updated": "2010-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "1603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "1603",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Christine Jenkins, DPT
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• Ronald Eli Katich Jr., BCHIS
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• Nilanjana Kothari
• Philip L Ku, M.D.
• Brianne Nicole Labella
• Lakeside Internal Medicine, PLLC
• Deana Elaine Laster, BEHAVIORAL TECHNICIA

• All providers in Sun Lakes, AZ
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2010; 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.