Ahn, Susie Kim
Ahn, Susie Kim is an individual health care provider with primary practice located at 1105 Central Expy N Ste 2240 , Allen TX 75013-6114. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ahn, Susie Kim can be contacted via phone (866) 607-2308.Contact Information
Primary practice address
1105 Central Expy N Ste 2240
Allen TX 75013-6114
Phone: (866) 607-2308
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 712630 | Texas |
Profile Details
| NPI number | 1003816232 |
|---|---|
| LBN Legal business name | Ahn, Susie Kim |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 29th, 2005 |
| Last updated | Oct 19th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003816232 | NPPES |
| Texas | MEDICAID | 173668801 |
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