Individual ProviderHyungeun KimPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address6612 Baltimore National Pike, Catonsville, MD 21228-3907(412) 979-5025PECOS EnrollmentBased on the most recent information from CMS, provider Hyungeun 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 2 days ago.Profile DetailsProvider ID1669899506Provider TypeIndividualFull NameKim, HyungeunGenderMaleSole ProprietorYesEnumeration Date3/27/2014Last Updated4/13/2021Contact InformationPractice LocationPractice Address6612 Baltimore National Pike, Catonsville, MD 21228-3907Phone(412) 979-5025FaxUnlisted FaxMailing LocationMailing Address9041 Sunni Shade Ct, Perry Hall, MD 21128-9222Phone(412) 979-5025FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense24889Maryland