Provider Demographics
NPI:1508004904
Name:HOFFMAN, KIM T (PHD)
Entity Type:Individual
Prefix:DR
First Name:KIM
Middle Name:T
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3705 5TH AVE
Mailing Address - Street 2:CHOB - CHILDREN'S HOSPITAL - CDU
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-2584
Mailing Address - Country:US
Mailing Address - Phone:412-692-7089
Mailing Address - Fax:412-692-5679
Practice Address - Street 1:3705 5TH AVE
Practice Address - Street 2:CHOB - CHILDREN'S HOSPITAL - CDU
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-2584
Practice Address - Country:US
Practice Address - Phone:412-692-7089
Practice Address - Fax:412-692-5679
Is Sole Proprietor?:No
Enumeration Date:2009-01-23
Last Update Date:2009-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS016547103T00000X
KS1765103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist