Individual ProviderHannah KimFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address1020 Laurel Oak Rd, Ste 102, Voorhees, NJ 08043(856) 783-1777PECOS EnrollmentBased on the most recent information from CMS, provider Hannah Kim is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1205455177Provider TypeIndividualFull NameKim, HannahCredentialMDGenderFemaleSole ProprietorNoEnumeration Date4/10/2020Last Updated1/15/2025Contact InformationPractice LocationPractice Address1020 Laurel Oak Rd, Ste 102, Voorhees, NJ 08043Phone(856) 783-1777FaxUnlisted FaxMailing LocationMailing Address1020 Laurel Oak Rd, Ste 102, Voorhees, NJ 08043Phone(856) 783-1777FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense25MA12150700New JerseyCode207Q00000XDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseMD486533Pennsylvania