Individual ProviderDa Young KimStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address501 E Hampden Ave, Englewood, CO 80113-2702(303) 788-5000(805) 231-1145PECOS EnrollmentBased on the most recent information from CMS, provider Da Young Kim does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 10:26 AM.Profile DetailsProvider ID1649912296Provider TypeIndividualFull NameKim, Da YoungCredentialDOGenderFemaleSole ProprietorNoEnumeration Date4/12/2022Last Updated4/12/2022Contact InformationPractice LocationPractice Address501 E Hampden Ave, Englewood, CO 80113-2702Phone(303) 788-5000FaxUnlisted FaxMailing LocationMailing Address9850 Rosemont Ave Apt 6-203, Lone Tree, CO 80124-3166Phone(805) 231-1145FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseTL.0009280Colorado