3300 PROVIDENCE DR TOWER B, SUITE 314
ANCHORAGE, AK 99508 US PECOS Enrolled
Overview
Kwanghee Kim is a Internal Medicine Physician in the ANCHORAGE area and has over 26 years of experience. Kwanghee Kim primary office location is at 3300 PROVIDENCE DR and new patients are welcome to contact this healthcare provider for an appointment. We do not know where he was educated but we know that he graduated in 1998
Kwanghee Kim is affiliated with three hospitals in the ANCHORAGE area, including . The NPI number is 1851621064 and the information was updated approximately 6 years ago.
Kwanghee Kim is part of two medical groups, including SELECT PHYSICAL THERAPY HOLDINGS INC.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: YES
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 11726 | ND |
| 258429 | NY |
| MEDS7869 | AK |
| Type/Issuer | Identifier | State |
|---|---|---|
| MEDICAID | 1597761 | AK |
| Taxonomy | State | Primary? |
|---|---|---|
| Internal Medicine Physician - Taxonomy Code 207R00000X | AK | Y |
| Internal Medicine Physician - Taxonomy Code 207R00000X | ND | N |
| Internal Medicine Physician - Taxonomy Code 207R00000X | NY | N |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20131112001401 |
| PECOS Individual PAC ID: | 7719166073 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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