Dr. Daniel Kim, M.D.
in Maryville, TN. Individual provider (NPI-1).
NPI number1174792154
StatusActive
Last updated in NPPESOct 28, 2025
Details
- NPI
- 1174792154
- Entity type
- Individual (NPI-1)
- Name
- Dr. Daniel Kim
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 25, 2008
- Certification date
- Oct 28, 2025
- Last updated
- Oct 28, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0129X | MD54161 | TN | Yes | |
| 208600000X | Surgery | MD54161 | TN |
Practice location
250 Bmh Physicians Office BldgMaryville, TN 37804-5904
Phone 865-980-5244 · Fax 865-980-5245
Mailing address
300 E McBee Ave Fl 4Greenville, SC 29601-2842
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