Provider Demographics
NPI:1407612799
Name:KIM, BARNABAS KYUNGHWAN (DMIN, MDIV, BCC)
Entity Type:Individual
Prefix:MR
First Name:BARNABAS
Middle Name:KYUNGHWAN
Last Name:KIM
Suffix:
Gender:M
Credentials:DMIN, MDIV, BCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:735 LEVITOW CIR
Mailing Address - Street 2:
Mailing Address - City:BARKSDALE AFB
Mailing Address - State:LA
Mailing Address - Zip Code:71110-2306
Mailing Address - Country:US
Mailing Address - Phone:626-354-2294
Mailing Address - Fax:
Practice Address - Street 1:735 LEVITOW CIR
Practice Address - Street 2:
Practice Address - City:BARKSDALE AFB
Practice Address - State:LA
Practice Address - Zip Code:71110-2306
Practice Address - Country:US
Practice Address - Phone:626-354-2294
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-23
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral