National Provider Identifier
Byoung Ju Kim, MS.OTR/L
Byoung Ju Kim, MS.OTR/L is listed in the NPPES registry with a primary specialty of Occupational Therapist in Buffalo, NY and a listed phone number of (716) 401-4736.
Profile Overview
- NPI
- 1306614995
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- December 13, 2023
- Last Updated
- December 13, 2023
Practice Location
- 316 West Ave
- Buffalo, NY 14201-1102
Phone: (716) 401-4736
Specialties
- Occupational Therapist (225X00000X)
Full Record
- NPI
- 1306614995
- Entity Type
- Individual
- Last Name
- Kim
- First Name
- Byoung Ju
- Credential
- MS.OTR/L
- Mailing Street Address
- 316 West Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14201-1102
- Mailing Country
- US
- Practice Street Address
- 316 West Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14201-1102
- Practice Country
- US
- Practice Phone
- (716) 401-4736
- Enumeration Date
- December 13, 2023
- Last Updated
- December 13, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- December 13, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapist (225X00000X)