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
Phone: (239) 275-6400
Fax: (239) 275-0178
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1861483166 | NPPES |
Florida | MEDICAID | 375598300 | |
Florida | Other | 830004833 |
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