| Sean W Kim, DO | |
|
245 N 15th St, Im Residency Mail Stop 427, Philadelphia, PA 19102-1101 | |
| (443) 926-3875 | |
| Not Available |
| Full Name | Sean W Kim |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 14 Years |
| Location | 245 N 15th St, Philadelphia, Pennsylvania |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023304797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | EQGXKPSJ (Pennsylvania) | Secondary |
| 208M00000X | Hospitalist | 009888 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Honorhealth Deer Valley Medical Center | Phoenix, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vituity - Arizona Hospitalists Pc | 5395163745 | 62 |
| Entity Name | Vituity - Arizona Hospitalists Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770109704 PECOS PAC ID: 5395163745 Enrollment ID: O20200916002069 |
| Mailing Address | Practice Location Address |
|---|---|
| Sean W Kim, DO 245 N 15th St, Im Residency Mail Stop 427, Philadelphia, PA 19102-1101 Ph: (443) 926-3875 | Sean W Kim, DO 245 N 15th St, Im Residency Mail Stop 427, Philadelphia, PA 19102-1101 Ph: (443) 926-3875 |
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