Kim, Alice Yang-Hee

Kim, Alice Yang-Hee is an individual health care provider with primary practice located at 111 Brewster Street , Pawtucket RI 02860-4400. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Kim, Alice Yang-Hee can be contacted via phone (401) 729-2262.

Contact Information

Primary practice address
111 Brewster Street Pawtucket RI 02860-4400
Fax: (401) 729-3050
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 227785 New York
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD13512 Rhode Island

Profile Details

NPI number 1407854797
LBN Legal business name Kim, Alice Yang-Hee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2005
Last updated May 13th, 2021 - about 5 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407854797 NPPES
Massachusetts MEDICAID 110088547A
Massachusetts MEDICAID 02376341
Massachusetts MEDICAID AK83696
Massachusetts Other 002028701

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