Dr Myung Mi Kim, MD is a
Surgery physician based in Fort Polk, Louisiana. Dr Myung Mi Kim is licensed to practice in Texas (license number W0821) and her current practice location is 1585 3rd St, Fort Polk, Louisiana. She can be reached at her office (for appointments etc.) via phone at
(726) 780-2411.
NPI number for Dr Myung Mi Kim is 1235383464 and her current mailing address is Po Box 19781, Houston, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1235383464.
Physician's Profile
| Full Name | Dr Myung Mi Kim |
|---|
| Gender | Female |
|---|
| Speciality | Surgery |
|---|
| Location | 1585 3rd St, Fort Polk, Louisiana |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1235383464
- Provider Enumeration Date: 11/14/2008
- Last Update Date: 07/02/2026
Medical Identifiers
Medical identifiers for Dr Myung Mi Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1235383464 | NPI | - | NPPES |
| 200931090 | Medicaid | IN | |
| IN1060118 | Other | IN | STATE LICENSE |
| NC1815 | Medicaid | SC | |
| 1235383464 | Medicaid | NC | |
| 2013-00050 | Other | NC | NC LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208600000X | Surgery | 2013-00050 (North Carolina) | Secondary |
| 208600000X | Surgery | W0821 (Texas) | Primary |
| 2086S0102X | Surgery - Surgical Critical Care | 169774 (Florida) | Secondary |
| 208600000X | Surgery | 1060118 (Indiana) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Myung Mi Kim is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr Myung Mi Kim, MD Po Box 19781, Houston, TX 77224-9781 Ph: () - | Dr Myung Mi Kim, MD 1585 3rd St, Fort Polk, LA 71459-5102 Ph: (726) 780-2411 |
Reviews and Comments