Kim, Brandon J

Kim, Brandon J is an individual health care provider with primary practice located at 1002 E Mcdowell Rd Suite A, Phoenix AZ 85006-2625. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Kim, Brandon J can be contacted via phone (602) 262-2663.

Contact Information

Primary practice address
1002 E Mcdowell Rd Suite A Phoenix AZ 85006-2625
Phone: (602) 262-2663
Fax: (602) 258-3008
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 00571 Arizona

Profile Details

NPI number 1962496323
LBN Legal business name Kim, Brandon J
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2005
Last updated Oct 2nd, 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 1962496323 NPPES
Arizona Other Z84078 MEDICARE ID-PIN
Arizona MEDICAID 797897 MEDICARE ID-PIN

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