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Contact Information

CHRISTINA J KIM, MD
13914 SOUTHEASTERN PKWY STE 203A
FISHERS, IN46037-7125
 Phone: 317-582-9355
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Surgical Oncology

2086X0206X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for CHRISTINA J KIM · (Female)

NPI # 1912006206
Status Active
Credentials MD
Entity Individual
Enumeration date 09/22/2006
Last updated 06/24/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IN License # 01063630A
  • IN Medicaid 200870490
  • IN Other 7264357 AETNA
  • IN Other 000000526962 ANTHEM
  • IN Other 000000609663 ANTHEM
  • IN Other 000000780867 ANTHEM
  • IN Other P01192259 RR MEDICARE PTAN
Hospital affiliation(s)
  • COMMUNITY HOSPITAL NORTH - (Acute Care)
    7150 CLEARVISTA DR
    INDIANAPOLIS, IN 46256
  • COMMUNITY HOWARD REGIONAL HEALTH INC - (Acute Care)
    3500 S LAFOUNTAIN ST
    KOKOMO, IN 46902
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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