Kim, Benjamin

Kim, Benjamin is an individual health care provider with primary practice located at 1220 E 3900 S 4F, Salt Lake City UT 84124-1327. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Oncology, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Kim, Benjamin can be contacted via phone (801) 268-8223.

Contact Information

Primary practice address
1220 E 3900 S 4F Salt Lake City UT 84124-1327
Phone: (801) 268-8223
Fax: (801) 268-8248
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 1003810220 Utah
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X 1003810220 Utah
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 1003810220 Utah

Profile Details

NPI number 1487681102
LBN Legal business name Kim, Benjamin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Jul 8th, 2007 - about 18 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 1487681102 NPPES
Utah Other 45948 PEHP
Utah Other 1700075 PEHP
Utah Other QM0000033040 PEHP

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