Wang Ki Kim is a Gowanda, New York based psychiatrist who is specialized in Addiction Medicine. Active license number of Wang Ki Kim is 1233901 for Psychiatry in New York. His current practice location is 100 Memorial Drive, Gowanda. Patients can reach him at 716-532-9202. Wang Ki Kim is MD in Addiction Medicine and his NPI number (Unique professional ID assigned by NPPES) is 1649345349.
Wang Ki Kim focuses on the evaluation, diagnosis, and treatment of people who have one or more disorders related to addictions like illegal drugs, alcohol, and prescription medication and other substances.
Complete Profile:
Wang Ki Kim speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Wang Ki Kim |
| Specialization: | Addiction Medicine |
| Gender: | Male |
| Credentials: | MD |
| Practice Address: | 100 Memorial Drive, Gowanda,
New York, 14070 |
| Phone: | 716-532-9202 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1649345349 |
| NPI Enumeration Date: | 21 Nov, 2006 |
| NPI Last Update On: | 24 May, 2011 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Wang Ki Kim are as mentioned below.
| License Number | Specialization | State | Status | |
| 1233901 | Psychiatry | New York | Primary | |
| 1233901 | Addiction Medicine | New York | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Wang Ki Kim such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 69440206 | Other | New York | LIONEL R JOHN CONTRACT HE |
| 00020290301 | Other | New York | UNIVERA |
| 1505718 | Other | New York | INDEPENDENT HEALTH |
| 5074651 | Other | New York | BLUE CROSS |
| 005074651 | Other | New York | COMMUNITY BLUE |
| 074651 | Other | New York | BLUE SHIELD |
| 1042076 | Other | New York | FIDELIS CARE |
| 69440206 | Other | New York | CATTARAUGUS INDIAN RESERV |
| 01429390 | Medicaid | New York | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Wang Ki Kim
54425 Lakeshore Road,
Hamburg, New York |
| Zip: | 14075 |
| Phone Number: | 716-627-3776 |
| Fax Number: | 716-627-1162 |
Patients can reach Wang Ki Kim at
100 Memorial Drive, Gowanda, New York or can
call to book an appointment on 716-532-9202.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.