IndividualActive
Daniel Kim, MD
NPI 1114986817 · Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · Port Matilda, PA
Provider details
- NPI number
- 1114986817
- Entity type
- Individual
- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- D00065837 (MD)
Specialties & taxonomies
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianPrimary207VF0040XLicense MD065991L (PA)
Allopathic & Osteopathic Physicians
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician207VF0040XLicense D00065837 (MD)
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
132 Abigail Ln
Port Matilda, PA 16870-7153
Phone: (814) 272-5011
Fax: (814) 272-6531
Approximate (ZIP-level) locationGet directions
Mailing address
100 N Academy Ave
Danville, PA 17822-4903
Registry dates
- Enumerated
- 2006-03-21
- Last updated
- 2022-07-08
- Certified
- 2022-02-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.