Kim, Cadence A

Kim, Cadence A is an individual health care provider with primary practice located at 1342 Cottman Ave , Philadelphia PA 19111-3729. She recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as her primary health care specialty. Kim, Cadence A can be contacted via phone (215) 745-1612.

Contact Information

Primary practice address
1342 Cottman Ave Philadelphia PA 19111-3729
Fax: (215) 745-8319
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X MD060440L Pennsylvania

Profile Details

NPI number 1902809304
LBN Legal business name Kim, Cadence A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Nov 1st, 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 1902809304 NPPES
Pennsylvania Other 890505 HIGHMARK BLUE SHIELD
Pennsylvania Other 0120797000 HIGHMARK BLUE SHIELD
Pennsylvania Other 8317350 HIGHMARK BLUE SHIELD
Pennsylvania Other P01043225 HIGHMARK BLUE SHIELD
Pennsylvania Other 30106258 HIGHMARK BLUE SHIELD
Pennsylvania MEDICAID 0016316400002 HIGHMARK BLUE SHIELD

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