Provider Demographics
NPI:1902888050
Name:KIM, FRANK (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:
Last Name:KIM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:725 CHERRINGTON PKWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MOON TWP
Mailing Address - State:PA
Mailing Address - Zip Code:15108-4318
Mailing Address - Country:US
Mailing Address - Phone:412-262-1000
Mailing Address - Fax:412-262-4607
Practice Address - Street 1:725 CHERRINGTON PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:MOON TWP
Practice Address - State:PA
Practice Address - Zip Code:15108-4318
Practice Address - Country:US
Practice Address - Phone:412-262-1000
Practice Address - Fax:412-262-4607
Is Sole Proprietor?:No
Enumeration Date:2005-11-15
Last Update Date:2010-10-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD072571L207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007728510005Medicaid
PA1007728510005Medicaid
PA044189NYBMedicare ID - Type Unspecified