Kim, Bryan
Kim, Bryan is an sole proprietor health care provider with primary practice located at 2828 E Barnett Rd , Medford OR 97504-8342. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Clinical Informatics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Kim, Bryan can be contacted via phone (541) 789-8000.Contact Information
Primary practice address
2828 E Barnett Rd
Medford OR 97504-8342
Phone: (541) 789-8000
Fax: (541) 789-8225
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD198618 | Oregon |
Allopathic & Osteopathic Physicians / Clinical Informatics | 2083C0008X | MD198618 | Oregon |
Profile Details
NPI number | 1275671414 |
---|---|
LBN Legal business name | Kim, Bryan |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 1st, 2007 |
Last updated | Dec 19th, 2023 - about 2 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 | 1275671414 | NPPES |
Oregon | MEDICAID | 500780839 |
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