Kim, Brian K.

Kim, Brian K. is an individual health care provider with primary practice located at 3840 Broadway , Fort Myers FL 33901-8108. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Kim, Brian K. can be contacted via phone (239) 275-6400.

Contact Information

Primary practice address
3840 Broadway Fort Myers FL 33901-8108
Fax: (239) 275-0178
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X ME66697 Florida

Profile Details

NPI number 1861483166
LBN Legal business name Kim, Brian K.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Jun 10th, 2010 - about 14 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 1861483166 NPPES
Florida MEDICAID 375598300
Florida Other 830004833

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