Provider Demographics
NPI:1639119886
Name:DAO, KIM V (MD)
Entity Type:Individual
Prefix:
First Name:KIM
Middle Name:V
Last Name:DAO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:806 E JULIAN ST
Mailing Address - Street 2:A
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95112-1869
Mailing Address - Country:US
Mailing Address - Phone:408-295-5170
Mailing Address - Fax:408-295-0601
Practice Address - Street 1:806 E JULIAN ST
Practice Address - Street 2:A
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95112-1869
Practice Address - Country:US
Practice Address - Phone:408-295-5170
Practice Address - Fax:408-295-0601
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-07
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CAA50097204C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204C00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine, Sports Medicine