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Contact Information

WANG K KIM, MD
100 MEMORIAL DRIVE
GOWANDA, NY14070
 Phone: 716-532-9202
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Addiction Medicine

2084A0401X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for WANG K KIM · (Male)

NPI Number 1649345349
Status Active
Credentials MD
Entity Individual
Enumeration date 11/21/2006
Last updated 05/31/2026 - Less than a week ago
Sole proprietor 1 No
Identifiers
  • NY License # 1233901
  • NY Medicaid 01429390
  • NY Other 5074651 BLUE CROSS
  • NY Other 074651 BLUE SHIELD
  • NY Other 69440206 CATTARAUGUS INDIAN RESERV
  • NY Other 005074651 COMMUNITY BLUE
  • NY Other 1042076 FIDELIS CARE
  • NY Other 1505718 INDEPENDENT HEALTH
  • NY Other 69440206 LIONEL R JOHN CONTRACT HE
  • NY Other 00020290301 UNIVERA
Hospital affiliation(s) Not Available
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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