| Dr Hyon Su Kim, MD | |
|
23515 Highway 190, Mandeville, LA 70448-7334 | |
| (504) 250-5415 | |
| Not Available |
| Full Name | Dr Hyon Su Kim |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 23515 Highway 190, Mandeville, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700079274 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD.203863 (Louisiana) | Primary |
| Entity Name | River Oaks Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528230976 PECOS PAC ID: 5193799492 Enrollment ID: O20040823001054 |
| Entity Name | Greenbrier Hospital, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659451664 PECOS PAC ID: 0840278289 Enrollment ID: O20091222000216 |
| Entity Name | Chitin Business Solutions Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982373288 PECOS PAC ID: 9436547049 Enrollment ID: O20211102000238 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Hyon Su Kim, MD 91 Cardinal Ln, Mandeville, LA 70471-6758 Ph: (504) 250-5415 | Dr Hyon Su Kim, MD 23515 Highway 190, Mandeville, LA 70448-7334 Ph: (504) 250-5415 |
Dr. Michael Henke, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1305 W Causeway Approach, Mandeville, LA 70471 Phone: 985-276-9460 Fax: 289-216-1304 | |
Broderick Letrey Pinkney, M.D Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2810 East Causeway Approach, Mandeville, LA 70449 Phone: 985-875-2713 Fax: 504-373-6103 | |
Dr. James Edward Hussey, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 375 Winchester Cir, Mandeville, LA 70448 Phone: 985-674-1505 | |
Christopher W. Lartigue, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 820 Lafitte St, Ste. 107, Mandeville, LA 70448 Phone: 985-624-5020 Fax: 985-624-5029 | |
Dr. Thomas L Keister Jr., MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2810 E Causeway Approach, Mandeville, LA 70448 Phone: 985-875-2340 | |
Leanne Mcburney Truehart, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 943 Cahoula Ct, Mandeville, LA 70471 Phone: 985-893-7444 Fax: 985-893-0706 | |
Dr. Isfana J Ali, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 900 Wilkinson St, Mandeville, LA 70448 Phone: 985-624-4450 Fax: 985-624-4461 |