National Provider Identifier
Wang Ki Kim, MD
Wang Ki Kim, MD is listed in the NPPES registry with a primary specialty of Psychiatry Physician in Gowanda, NY and a listed phone number of (716) 532-9202.
Profile Overview
- NPI
- 1649345349
- Provider Type
- Individual
- Primary Specialty
- Psychiatry Physician
- Enumeration Date
- November 21, 2006
- Last Updated
- May 24, 2011
Practice Location
- 100 Memorial Drive
- Gowanda, NY 14070
Phone: (716) 532-9202
Mailing Address
- 54425 Lakeshore Road
- Hamburg, NY 14075
Specialties
- Psychiatry Physician (2084P0800X)
- Addiction Medicine (Psychiatry & Neurology) Physician (2084A0401X)
Full Record
- NPI
- 1649345349
- Entity Type
- Individual
- Last Name
- Kim
- First Name
- Wang
- Middle Name
- Ki
- Credential
- MD
- Mailing Street Address
- 54425 Lakeshore Road
- Mailing City
- Hamburg
- Mailing State
- NY
- Mailing ZIP Code
- 14075
- Mailing Country
- US
- Mailing Phone
- (716) 627-3776
- Mailing Fax
- (716) 627-1162
- Practice Street Address
- 100 Memorial Drive
- Practice City
- Gowanda
- Practice State
- NY
- Practice ZIP Code
- 14070
- Practice Country
- US
- Practice Phone
- (716) 532-9202
- Enumeration Date
- November 21, 2006
- Last Updated
- May 24, 2011
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychiatry Physician (2084P0800X), Addiction Medicine (Psychiatry & Neurology) Physician (2084A0401X)
- Other Identifiers
- 69440206 (NY, Lionel R John Contract He), 00020290301 (NY, Univera), 1505718 (NY, Independent Health), 5074651 (NY, Blue Cross), 005074651 (NY, Community Blue), 074651 (NY, Blue Shield), 1042076 (NY, Fidelis Care), 69440206 (NY, Cattaraugus Indian Reserv), 01429390 (NY)