P Praxis·MD
● Active Type 1 · Individual

Moon Joo Kim, MD

Pathology·Pocatello, ID· NPI 1255825469 · Enumerated 2018 · 7 years on NPI
Kim is 1 of 2 pathology providers in Pocatello and 1 of 44 in Idaho.
NPI age
7 years
Enumerated 2018-06-20
Primary specialty
Pathology
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-05-22
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 44 active pathology providers in Idaho.

NPI age
7 years
↓ 12 yr below median (19 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
36% of peers hold subspecialties

NPI lifetime · 2018 → 2026

2018-06Enumerated in NPPES
2018 2026

Where they practice

Practice location
2431 Andrew St
Pocatello, ID 832018000
📞 2817982210
Mailing address
2431 Andrew St
Pocatello, ID 832018000

Specialties

  • Pathology Primary
    A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses...
    ID license #M-17400 taxonomy 207ZP0102X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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