Grace Eun Kim, DO

General Practice Physician · Northglenn, CO

Individual Active NPI

NPI number 1205397346

Practice location

10465 Melody Dr Ste 322
Northglenn, CO 80234-4126
Phone
(720) 934-1842

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NPI record

NPI
1205397346
Entity type
Individual (Type 1)
Enumeration date
March 30, 2019
Last updated
November 30, 2021
Certified
November 30, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Physician Primary 208D00000X 0065467 CO
Family Medicine Physician 207Q00000X DR.0065467 CO

Mailing address

15684 E 47TH Dr
Denver, CO 80239-5522
Phone
(720) 934-1842

About Dr. Kim

Grace Eun Kim, DO is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Physician (code 208D00000X). The practice location is 10465 Melody Dr Ste 322, Northglenn, CO 80234-4126. The NPI number 1205397346 was assigned on March 30, 2019 and the record was last updated on November 30, 2021.

Dr. Kim lists 2 licenses in the registry: #0065467 (CO) for General Practice Physician; #DR.0065467 (CO) for Family Medicine Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Grace Eun Kim, DO?

The NPI number is 1205397346.

What is the phone number of Dr. Kim?

The phone number listed for the practice location is (720) 934-1842.

Where is Dr. Kim located?

10465 Melody Dr Ste 322, Northglenn, CO 80234-4126.

What is the taxonomy code for Dr. Kim?

The primary taxonomy code is 208D00000X – General Practice Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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