Kim, Charles B

Kim, Charles B is an individual health care provider with primary practice located at 502 Elm St Ne , Albuquerque NM 87102-2512. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Kim, Charles B can be contacted via phone (505) 841-1000.

Contact Information

Primary practice address
502 Elm St Ne Albuquerque NM 87102-2512
Fax: (505) 843-2592
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 9889 New Mexico
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 9889 New Mexico

Profile Details

NPI number 1710912829
LBN Legal business name Kim, Charles B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Aug 18th, 2014 - about 11 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1710912829 NPPES
New Mexico MEDICAID 55953

Popular Providers