Active NPI
John Hankil Kim, D.O.
- Family Medicine Physician
- Hickam Afb, HI
National Provider Identifier
1871721159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 768
- Practice address
- 755 Scott Cir
Hickam Afb, HI 96853-5399 - Phone
- (808) 448-6100
- NPI assigned
- Jun 25, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 768 | NE | Primary |
Addresses
Primary practice location
755 Scott Cir
Hickam Afb, HI 96853-5399
Mailing address
755 Scott Cir
Jbphh, HI 96853-5399
Phone (808) 448-6100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 768 | NE | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715558400000",
"number": "1871721159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "755 SCOTT CIR",
"city": "JBPHH",
"state": "HI",
"postal_code": "968535399",
"telephone_number": "808-448-6100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "755 SCOTT CIR",
"city": "HICKAM AFB",
"state": "HI",
"postal_code": "968535399",
"telephone_number": "808-448-6100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "JOHN",
"middle_name": "HANKIL",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-25",
"last_updated": "2024-05-13",
"certification_date": "2024-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NE",
"license": "768",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hickam Afb, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.