Kim, Benjamin

Kim, Benjamin is an individual health care provider with primary practice located at 4131 N Central Expy Ste 435, Dallas TX 75204-2102. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Kim, Benjamin can be contacted via phone (214) 826-6500.

Contact Information

Primary practice address
4131 N Central Expy Ste 435 Dallas TX 75204-2102
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X L3719 Texas
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X L3719 Texas

Profile Details

NPI number 1174527964
LBN Legal business name Kim, Benjamin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Sep 24th, 2007 - about 17 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 1174527964 NPPES
Texas MEDICAID 157395801

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