Provider Demographics
NPI:1881361962
Name:KIM, HOON (PHD, ATC)
Entity type:Individual
Prefix:
First Name:HOON
Middle Name:
Last Name:KIM
Suffix:
Gender:M
Credentials:PHD, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 NOVUS LN APT 301
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-6015
Mailing Address - Country:US
Mailing Address - Phone:402-378-5466
Mailing Address - Fax:
Practice Address - Street 1:2000 NOVUS LN APT 301
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-6015
Practice Address - Country:US
Practice Address - Phone:402-378-5466
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-25
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer