Lydia Soo-Hyun Kim

Pediatrics Physician · Shiprock, NM

Individual Active NPI

NPI number 1780973396

Practice location

Us Hwy 491 North
Shiprock, NM 87420
Phone
(505) 368-6001
Fax
(505) 368-7011

Open in Google Maps

NPI record

NPI
1780973396
Entity type
Individual (Type 1)
Enumeration date
April 4, 2011
Last updated
September 17, 2015
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X A125333 CA

Mailing address

PO Box 160
Shiprock, NM 87420-0160
Phone
(505) 368-6001
Fax
(505) 368-7011

About Lydia Kim

Lydia Soo-Hyun Kim is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is Us Hwy 491 North, Shiprock, NM 87420. The NPI number 1780973396 was assigned on April 4, 2011 and the record was last updated on September 17, 2015.

Lydia Kim lists a license in the registry: #A125333 (CA) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Lydia Soo-Hyun Kim?

The NPI number is 1780973396.

What is the phone number of Lydia Kim?

The phone number listed for the practice location is (505) 368-6001.

Where is Lydia Kim located?

Us Hwy 491 North, Shiprock, NM 87420.

What is the taxonomy code for Lydia Kim?

The primary taxonomy code is 208000000X – Pediatrics Physician.

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.

Other Pediatrics Physician providers in Shiprock

All Pediatrics Physician providers in Shiprock, NM →