Kim, Daniel Lee

Kim, Daniel Lee is an individual health care provider with primary practice located at 132 Abigail Ln , Port Matilda PA 16870-7153. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery is his primary health care specialty. Kim, Daniel Lee can be contacted via phone (814) 272-5011.

Contact Information

Primary practice address
132 Abigail Ln Port Matilda PA 16870-7153
Phone: (814) 272-5011
Fax: (814) 272-6531
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery 207VF0040X D00065837 Maryland
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 223931 New York
Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery 207VF0040X MD065991L Pennsylvania

Profile Details

NPI number 1114986817
LBN Legal business name Kim, Daniel Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated Jul 8th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1114986817 NPPES
New York MEDICAID 02248355

Popular Providers