Provider Demographics
NPI:1629289046
Name:KIM, FRANKLIN P (PHD)
Entity Type:Individual
Prefix:DR
First Name:FRANKLIN
Middle Name:P
Last Name:KIM
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5024 S ELKHART CT
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80015-2256
Mailing Address - Country:US
Mailing Address - Phone:303-355-0710
Mailing Address - Fax:303-388-1172
Practice Address - Street 1:1825 YORK ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-1213
Practice Address - Country:US
Practice Address - Phone:303-393-0304
Practice Address - Fax:303-388-1172
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1868103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical