Individual Healthcare Provider
Christopher Konkyo Kim, MD
Provider's NPPES record last updated: August 28, 2025
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1780619742
- Primary Specialty
- Pain Medicine — Interventional Pain Medicine
- Practice Location
- Charleston, West Virginia
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 1:01 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Pain Medicine
Interventional Pain Medicine
Allopathic & Osteopathic Physicians
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
Taxonomy code 208VP0014X Anesthesiology
Pain Medicine
Allopathic & Osteopathic Physicians
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
Taxonomy code 207LP2900X
Provider-Reported License Information
- Pain Medicine (West Virginia)
- 19743
- Anesthesiology (Virginia)
- 0101057983
- Anesthesiology (West Virginia)
- 19743
- Pain Medicine (Virginia)
- 0101057983
Practice Locations
Practice Location
400 Court St Ste 100
Charleston, West Virginia 25301-1652
Phone: (304) 347-6120
Additional Practice Location
2335 Chesterfield Ave Ste 400
Charleston, West Virginia 25304-1066
Phone: (304) 925-9300
Fax: (304) 925-2924
Additional Practice Location
1206 Hospital Dr
Hurricane, West Virginia 25526-8708
Phone: (304) 757-5420
Fax: (304) 757-5421
Additional Practice Location
4605 Maccorkle Ave Sw
South Charleston, West Virginia 25309-1311
Phone: (304) 414-4800
Additional Practice Location
3200 Maccorkle Ave Se Fl 4
Charleston, West Virginia 25304-1227
Phone: (304) 388-5590
Fax: (304) 388-8238
Record Information
- Enumeration Date
- July 11, 2006
- Provider's NPPES Record Last Updated
- August 28, 2025
- Certification Date
- August 28, 2025
- NPISignal NPPES Dataset
- August 2026
See Something Wrong?
Incorrect provider information
Everything on this page comes directly from the NPPES data CMS publishes. NPISignal cannot edit a provider's record — only the provider or organization can, directly through NPPES.
Update a record through NPPESSomething wrong with this page?
If NPISignal is displaying this data incorrectly — a formatting error, a broken link, a mismatch with the source file — let us know.
Report a display issue