| Donald H Kim Md Pc | |
|
10629 S Western Ave Oklahoma City OK 73170-6200 | |
| (405) 692-9977 | |
| (405) 691-6347 |
| Full Name | Donald H Kim Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 10629 S Western Ave, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Donald H Kim (PRESIDENT) |
| Authorized Official Contact | 4056929977 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Donald H Kim Md Pc Po Box 891977 Oklahoma City OK 73189-1977 Ph: (405) 692-9977 | Donald H Kim Md Pc 10629 S Western Ave Oklahoma City OK 73170-6200 Ph: (405) 692-9977 |
| NPI Number | 1164469219 |
|---|---|
| Provider Enumeration Date | 05/31/2006 |
| Last Update Date | 09/11/2025 |
| Medicare PECOS PAC ID | 0547357519 |
|---|---|
| Medicare Enrollment ID | O20071107000789 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164469219 | NPI | - | NPPES |
| P00262362 | Other | OK | RAILROAD MEDICARE # |
| 064700062006 | Other | OK | BCBS PROVIDER # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 21721 (Oklahoma) | Primary |
| 208VP0000X | Pain Medicine - Pain Medicine | 21721 (Oklahoma) | Secondary |
| Provider Name | Donald H Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821035916 PECOS PAC ID: 5395701262 Enrollment ID: I20041203000012 |
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