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Contact Information

THEODORE Y KIM, DO
3851 PIPER ST STE U340
ANCHORAGE, AK99508-6904
 Phone: 907-562-0321
 Fax: 907-562-0321
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for THEODORE Y KIM · (Male)

NPI Number 1952325359
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 07/27/2006
Last updated 01/22/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • AK License # 129714
  • AK Medicaid 1686607
  • AK Other K169302 MEDICARE PTAN
  • AK Other Q00801068 RAILROAD MEDICARE
Hospital affiliation(s)
  • ALASKA REGIONAL HOSPITAL - (Acute Care)
    2801 DEBARR ROAD
    ANCHORAGE, AK 99508
  • CENTRAL PENINSULA GENERAL HOSPITAL - (Acute Care)
    250 HOSPITAL PLACE
    SOLDOTNA, AK 99669
  • PROVIDENCE ALASKA MEDICAL CENTER - (Acute Care)
    BOX 196604
    ANCHORAGE, AK 99508
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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