Kim, Benedict Y

Kim, Benedict Y is an individual health care provider with primary practice located at 2600 6Th St Sw Radiology Associates Of Canton, Inc, Canton OH 44710-1702. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Nuclear Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Kim, Benedict Y can be contacted via phone (330) 363-2842.

Contact Information

Primary practice address
2600 6Th St Sw Radiology Associates Of Canton, Inc Canton OH 44710-1702
Phone: (330) 363-2842
Fax: (330) 580-5536
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 34 006380 Ohio
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X 34 006380 Ohio

Profile Details

NPI number 1295726438
LBN Legal business name Kim, Benedict Y
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Jan 5th, 2011 - about 13 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 1295726438 NPPES
Ohio MEDICAID 2134694
Ohio Other 300119316

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