| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KEITHSTONE YOUNG KIM | 1346867587 | 2020-07-04 |
Keithstone Young Kim is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1346867587. Registration indicates Keithstone Young Kim is a provider of access to adult/geriatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, Family Medicine Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, Family Medicine) (Allopathic & Osteopathic Physicians, Family Medicine) (Family Medicine, ) (Primary Care/Family Planning/APRN/PA, ) (Family Medicine, Allopathic & Osteopathic Physicians)
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Dr. Keithstone Young Kim MD |
| Practice Office Address | 7710 MERCY ROAD SUITE 202 - CU DEPARTMENT OF FAMILY MEDICINE OMAHA, NE US |
| Practice Office Telephone | 4022804318 |
| Mailing Address | 7710 MERCY ROAD SUITE 202 - CU DEPARTMENT OF FAMILY MEDICINE OMAHA, NE 681242353 US |
| Business Telephone | 4022804318 |
| Code | Practice | License No State |
|---|---|---|
| 207Q00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Allopathic & Osteopathic Physicians Family MedicineAccess to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians Family Medicine Allopathic & Osteopathic Physicians Family Medicine Family Medicine Primary Care/Family Planning/APRN/PA Family Medicine Allopathic & Osteopathic Physicians | 8833
NE |