Provider Demographics
NPI:1417988585
Name:KIM KUHAR D O INTERNAL MEDICINE P C
Entity Type:Organization
Organization Name:KIM KUHAR D O INTERNAL MEDICINE P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:KUHAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-258-3810
Mailing Address - Street 1:164 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:SILVERDALE
Mailing Address - State:PA
Mailing Address - Zip Code:18962
Mailing Address - Country:US
Mailing Address - Phone:215-258-3810
Mailing Address - Fax:215-258-3815
Practice Address - Street 1:164 MAIN STREET
Practice Address - Street 2:
Practice Address - City:SILVERDALE
Practice Address - State:PA
Practice Address - Zip Code:18962
Practice Address - Country:US
Practice Address - Phone:215-258-3810
Practice Address - Fax:215-258-3815
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-06
Last Update Date:2010-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA0S0065771207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA057188Medicare PIN