Individual ProviderSehee V KimInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address4300 Londonderry Rd, Harrisburg, PA 17109-5317(717) 231-8772PECOS EnrollmentThis provider is enrolled in PECOS as SEHEE KIM.Based on the most recent information from CMS, provider Sehee V 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 15 days ago.Profile DetailsProvider ID1295022986Provider TypeIndividualFull NameKim, Sehee VCredentialDOGenderFemaleSole ProprietorNoEnumeration Date7/1/2011Last Updated12/10/2020Contact InformationPractice LocationPractice Address4300 Londonderry Rd, Harrisburg, PA 17109-5317Phone(717) 231-8772Fax(717) 231-8435Mailing LocationMailing Address4300 Londonderry Rd, Harrisburg, PA 17109-5317Phone(717) 231-8772Fax(717) 231-8435Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseOS017544PennsylvaniaProvider IdentifiersIDDescriptionIssuerID103006270DescriptionMedicaidIssuerUnlistedPennsylvania