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Contact Information

DANIEL L KIM, MD
132 ABIGAIL LN
PORT MATILDA, PA16870-7153
 Phone: 814-272-5011
 Fax: 814-272-6531
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urogynecology and Reconstructive Pelvic Surgery

207VF0040X 16 Physician/Obstetrics & Gynecology
 

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for DANIEL L KIM · (Male)

NPI Number 1114986817
Status Active
Credentials MD
Entity Individual
Enumeration date 03/21/2006
Last updated 07/08/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MD License # D00065837
  • NY License # 223931
  • PA License # MD065991L
  • NY Medicaid 02248355
Hospital affiliation(s)
  • BALTIMORE WASHINGTON MEDICAL CENTER - (Acute Care)
    301 HOSPITAL DRIVE
    GLEN BURNIE, MD 21061
  • SINAI HOSPITAL OF BALTIMORE - (Acute Care)
    2401 WEST BELVEDERE AVENUE
    BALTIMORE, MD 21215
  • UNION HOSPITAL OF CECIL COUNTY - (Acute Care)
    106 BOW STREET
    ELKTON, MD 21921
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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