Daniel Kim, M.D.
Pediatrics in Philadelphia, PA. Individual provider (NPI-1).
NPI number1982130050
StatusActive
Last updated in NPPESJan 11, 2021
Details
- NPI
- 1982130050
- Entity type
- Individual (NPI-1)
- Name
- Daniel Kim
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 10, 2017
- Certification date
- Aug 10, 2020
- Last updated
- Jan 11, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | MD471453 | PA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
861 E Allegheny AvePhiladelphia, PA 19134-2401
Phone 215-302-3600
Mailing address
4417 N 6th StPhiladelphia, PA 19140-2319
Phone 215-302-3600
Other practice locations
4010 70th St Fl 2
Woodside, NY 11377-2930
Woodside, NY 11377-2930
Phone 347-200-5124
100 Woods Rd
Valhalla, NY 10595-1530
Valhalla, NY 10595-1530
Phone 914-493-6001
4417 N 6th St
Philadelphia, PA 19140-2319
Philadelphia, PA 19140-2319
Phone 215-302-3600
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