Individual ProviderNam Ho KimStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address128 E Apple St, Wright State Univ Dept Of Internal Medicine, 2nd Floor, Dayton, OH 45409-2902(937) 208-2866PECOS EnrollmentBased on the most recent information from CMS, provider Nam Ho 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 8 days ago.Profile DetailsProvider ID1942506472Provider TypeIndividualFull NameKim, Nam HoTitleDr.CredentialM.D.GenderMaleSole ProprietorNoEnumeration Date1/31/2011Last Updated1/31/2011Contact InformationPractice LocationPractice Address128 E Apple St, Wright State Univ Dept Of Internal Medicine, 2nd Floor, Dayton, OH 45409-2902Phone(937) 208-2866FaxUnlisted FaxMailing LocationMailing Address128 E Apple St, Wright State Univ Dept Of Internal Medicine, 2nd Floor, Dayton, OH 45409-2902Phone(937) 208-2866FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer