Hyonwoo Adam Kim, CPO
Prosthetist in Tampa, FL. Individual provider (NPI-1).
NPI number1750167615
StatusActive
Last updated in NPPESSep 6, 2023
Details
- NPI
- 1750167615
- Entity type
- Individual (NPI-1)
- Name
- Mr. Hyonwoo Adam Kim
- Credential
- CPO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 6, 2023
- Certification date
- Sep 6, 2023
- Last updated
- Sep 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224P00000X | Prosthetist | POR243 | FL | Yes |
Other names
- Adam Kim (Professional Name)
Practice location
115 S Macdill AveTampa, FL 33609-3128
Phone 813-251-1590 · Fax 813-251-0642
Mailing address
115 S Macdill AveTampa, FL 33609-3128
Phone 813-251-1590
Other practice locations
115 S Macdill Ave
Tampa, FL 33609-3128
Tampa, FL 33609-3128
Phone 813-251-1590 · Fax 813-251-0642
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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