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Contact Information

HACK J KIM, MD
2680 S VAL VISTA DR STE 116
GILBERT, AZ85295-2154
 Phone: 480-507-5678
 Fax: 480-507-5677
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
 

Hepatology

207RI0008X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for HACK J KIM · (Male)

NPI # 1588647044
Status Active
Credentials MD
Entity Individual
Enumeration date 11/29/2005
Last updated 03/07/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 32877
  • AZ Medicaid 865123
Hospital affiliation(s)
  • MERCY GILBERT MEDICAL CENTER - (Acute Care)
    3555 SOUTH VAL VISTA DRIVE
    GILBERT, AZ 85296
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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