Provider Demographics
NPI:1265481261
Name:KIM, STEVE C (DC)
Entity Type:Individual
Prefix:DR
First Name:STEVE
Middle Name:C
Last Name:KIM
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:615 BAKERS BRIDGE AVENUE
Mailing Address - Street 2:SUITE NUMBER 120
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-1687
Mailing Address - Country:US
Mailing Address - Phone:615-764-0001
Mailing Address - Fax:615-764-0002
Practice Address - Street 1:615 BAKERS BRIDGE AVENUE
Practice Address - Street 2:SUITE NUMBER 120
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-1687
Practice Address - Country:US
Practice Address - Phone:615-764-0001
Practice Address - Fax:615-764-0002
Is Sole Proprietor?:No
Enumeration Date:2006-05-08
Last Update Date:2008-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2101111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4120860OtherBLUECARE
TN696690OtherACN
TN4120860OtherBCBS
TN4120860OtherBLUESELECT
TN696690OtherGE WELLNESS PLAN
TN4120860OtherBLUECLASSIC
TN696690OtherGREAT-WEST HEALTHCARE
TN696690OtherBLUEGRASS FAMILY HEALTH
TN696690OtherHEALTH ALLIES
TN696690OtherGOLDEN RULE
TN696690OtherUNITED HEALTHCARE
TN4120860OtherBLUEPREFERRED
TNV09037Medicare UPIN
TN696690OtherUNITED HEALTHCARE