Amanda Y Kim, PT is a
Physical Therapist based in Gluckstadt, Mississippi. Amanda Y Kim is licensed to practice in Mississippi (license number PT7761) and her current practice location is
464 Church Rd Ste 400, Gluckstadt, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(601) 707-5943.
NPI number for Amanda Y Kim is 1205633609 and her current mailing address is 921 W Beacon St, Philadelphia, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205633609.
Healthcare Provider's Profile
Full Name | Amanda Y Kim |
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Gender | Female |
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Speciality | Physical Therapist |
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Location | 464 Church Rd Ste 400, Gluckstadt, Mississippi |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1205633609
- Provider Enumeration Date: 02/25/2025
- Last Update Date: 02/25/2025
Medical Identifiers
Medical identifiers for Amanda Y Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205633609 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | PT7761 (Mississippi) | Primary |
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. Amanda Y 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 |
Amanda Y Kim, PT 921 W Beacon St, Philadelphia, MS 39350-3229 Ph: (601) 650-0002 | Amanda Y Kim, PT 464 Church Rd Ste 400, Gluckstadt, MS 39110-6940 Ph: (601) 707-5943 |
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