Provider Type Icon

KIM ORTHOPEDIC LLC NPI 1467071829


NPI Information

NPI: 1467071829
Provider Name: KIM ORTHOPEDIC LLC
Classification: Orthopaedic Surgery - 207XS0114X
Entity Type: Organization

Specialization: Adult Reconstructive Orthopaedic Surgery

Address:
2 SHIRCLIFF WAY STE 605
JACKSONVILLE, FL
ZIP 32204
Phone: (904) 328-5979
Get Directions

KIM ORTHOPEDIC LLC is an adult reconstructive orthopaedic surgery orthopaedic surgery in Jacksonville, FL. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. KIM ORTHOPEDIC LLC NPI is 1467071829. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2 SHIRCLIFF WAY STE 605
JACKSONVILLE, FL
ZIP 32204-762
Phone: (904) 328-5979
Fax: (904) 619-9925

The provider's authorized official is Eric G Kim .
The authorized official title is Owner and has the following contact phone number (904) 868-5716.

The enumeration date for this NPI number is 4/15/2020 and was last updated on 5/27/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207XS0114XOrthopaedic SurgeryAdult Reconstructive Orthopaedic SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.