Kim, Brian Young

Kim, Brian Young is an individual health care provider with primary practice located at 111 Colchester Ave 358Wp5 Ophthalmology, Burlington VT 05401-1473. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Kim, Brian Young can be contacted via phone (802) 847-2251.

Contact Information

Primary practice address
111 Colchester Ave 358Wp5 Ophthalmology Burlington VT 05401-1473
Phone: (802) 847-2251
Fax: (802) 847-1481
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 42-0011150 Vermont

Profile Details

NPI number 1881655496
LBN Legal business name Kim, Brian Young
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Apr 30th, 2012 - about 12 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 1881655496 NPPES
New York MEDICAID 2810300
New York MEDICAID 1012625

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