Provider Demographics
NPI:1114965167
Name:KIM, JOSEPH HILL (DO)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:HILL
Last Name:KIM
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30549 SUSSEX HWY
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:DE
Mailing Address - Zip Code:19956-3891
Mailing Address - Country:US
Mailing Address - Phone:302-875-2127
Mailing Address - Fax:302-875-5091
Practice Address - Street 1:30549 SUSSEX HWY
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:DE
Practice Address - Zip Code:19956-3891
Practice Address - Country:US
Practice Address - Phone:302-875-2127
Practice Address - Fax:302-875-5091
Is Sole Proprietor?:No
Enumeration Date:2006-06-03
Last Update Date:2015-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC20007390207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine